Accounts Receivable Specialist- Collections

Description

The Accounts Receivable Specialist is responsible for managing and collecting outstanding payments from insurance companies and patients. This role ensures accurate claim follow-up, resolves denials and submits appeals, and maintains compliance with billing and collection policies. The ideal candidate has strong communication skills, attention to detail, and a solid understanding of medical billing, insurance processes, and reimbursement practices.

• Review and monitor outstanding accounts receivable (A/R) for insurance and patient balances.
  
• Follow up on unpaid, denied, or underpaid claims with insurance carriers to ensure timely reimbursement.
  
• Contact patients to arrange payment plans and resolve billing inquiries professionally and empathetically.
  
• Research and resolve claim denials and discrepancies by working with payers, billing staff, and providers.
  
• Generate and analyze aging and collection reports to identify and prioritize delinquent accounts.
  
• Maintain detailed documentation of all collection activities in patient account records.
  
• Ensure compliance with HIPAA and all federal, state, and payer regulations.
  
• Collaborate with billing and coding teams to prevent future claim rejections or delays.
  
• Participate in monthly reconciliation, audits, and process improvement initiatives.
  

Requirements

• High school diploma or GED required; associate’s degree in healthcare administration or related field preferred.
  
• 1–3 years of experience in medical billing, insurance collections, or accounts receivable within a healthcare setting.
  
• Knowledge of medical billing procedures, insurance claim processes, EOBs, CPT/ICD-10 codes, and payer guidelines.
  
• Experience with EHR and billing software
  
• Proficiency with Microsoft Office (Excel, Word, Outlook).
  
• Strong communication, negotiation, and problem-solving skills.
  
• Excellent attention to detail, organization, and time management.
  
• Familiarity with HIPAA regulations and patient confidentiality standards.