medical accounts receivable specialist

Total Orthopedics & Sports Medicine

We are seeking a dedicated Medical Billing AR Specialist with a strong background in managing accounts receivable billing and collection of payments for all designated payors and locations in order to meet and maintain our goal to join our dynamic team. You will be responsible for transferring patient and insurance information and initiating payment processes and procedures. The ideal candidate will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. You will also be responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into the system.Responsibilities:<ul><li>Identifies and resolves billing inquiries/problems</li><li>Codes services provided utilizing CPT and ICD-10 coding</li><li>Experience with Medicare, Commercial, Worker's Comp and No-Fault claims follow up</li><li>Knowledge of Medical Terminology, ICD-10, CPT codes and the correct use of modifiers</li><li>Working rejections from the clearinghouse to correct errors for resubmissions</li><li>Generates and submits electronic claims and statements at designated intervals; corrects any errors for complete and accurate transmission of data</li><li>Able to handle patient inquiries regarding billing issues, out of network issues, and explaining insurance guidelines to patients</li><li>Read and analyze patient records to determine correct codes for billing to insurance provider</li><li>Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers</li><li>Researches and processes refund requests and overpayments</li><li>Prepares correspondence and/or collection letters</li><li>Performs other related duties as assigned by senior management</li></ul>Requirements:<ul><li>Proficiency in medical terminology and ICD-9 / ICD-10 coding</li><li>Experience with insurance verification and prior authorizations</li><li>Strong attention to detail and data entry accuracy</li><li>Excellent communication and organizational skills</li></ul>Benefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Health insurance</li><li>Company paid Life insurance and optional voluntary insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person: Relocate before starting work (Required)Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression in terms of all conditions of employment. Our diversity is one of our greatest strengths, and as an Equal Opportunity Employer, we are proud to promote a work environment where all differences are respected.Job Type: Full-timePay: $25.00 - $28.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Health savings account</li><li>Paid time off</li><li>Parental leave</li><li>Vision insurance</li></ul>Experience:<ul><li>Medical billing: 1 year (Preferred)</li></ul>Ability to Commute:<ul><li>Syosset, NY 11791 (Required)</li></ul>Work Location: In person

Medical Billing Accounts Receivable (AR) Specialist

I Am Boundless

<div>Summary/Objective
Responsible for accurately processing patient billing, managing insurance claims, and ensuring timely reimbursement. Duties include reviewing medical records, coding procedures, and collaborating with healthcare providers and insurance companies to resolve discrepancies. Strong attention to detail, knowledge of medical terminology, and proficiency in billing software are essential for success in this role.
Essential Functions<ul><li>Verifies insurance benefits and confirm patient eligibility</li><li>Obtains prior authorization for services as required</li><li>Reviews clinician entered charges entered for accuracy before generating claims</li><li>Prepares and submits claim files</li><li>Posts insurance and clients payments accurately and in a timely manner</li><li>Analyze and address ERA/EOB denials by taking appropriate corrective action</li><li>Manage accounts receivable and actively pursue outstanding balances</li><li>Oversee client collections to ensure timely payment</li><li>Handle insurance appeals for denied or underpaid claims</li><li>Stay informed and compliant with payor reimbursement policies, procedures, and guidelines</li><li>Monitor and apply contracted fee schedules to ensure accurate expected payment</li><li>Foster positive communication and relationships with patients, clinicians, physicians, third-party payors, and other Boundless staff)to ensure exceptional customer service</li><li>Adheres to company policies and procedures in addition to regulations, laws and other requirements from applicable governing bodies, certification, licensure and/or accreditation entities, etc.</li><li>INCLUDE STATEMENT ABOUT WORKSPACES OR ENVIRONMENTS THAT THIS POSITION WILL TYPICALLY WORK</li></ul>
Other Responsibilities<ul><li>Other duties as assigned.</li></ul>
Supervisory Duties
This position has no supervisory responsibilities.
Education, Skills, Experience and Requirements<ul><li>High school diploma required; college coursework a plus.</li><li>Preferred 1-3 years&rsquo; experience in medical billing and collections, as well as insurance verification.</li><li>Proficient in Microsoft 365</li><li>Medical Coding Certification (Preferred)</li><li>Driver&rsquo;s license and insurable driving record, if applicable.</li></ul>
Competencies and Attributes
Oral and written communication
Professionalism
Organizational skills
Ability to stay focused
Ability to prioritize multiple tasks
Computer skills
Professional phone etiquette
Physical Demands/% of time
Lifting and carrying up to 20lbs &lt;25%
Standing and/or walking &lt;25%
Near visual acuity &gt;75%
Use of electronics (i.e. computer, tablet) &gt;75%
Manual dexterity &gt;75%
Use of office equipment (i.e. copier/scanner) &gt;75%
Sitting &gt;75%
Verbal communication &gt;75%
Work Hours: Typically Monday through Friday from 8 am to 4:30 pm-this position works remotely
Travel Requirements: Minimul travel is primarily local during the business day</div>

Medical Billing and Accounts Receivable Specialist

Cruise Planners HQ

<div>
 Cruise Planners is the largest franchisor of home-based travel agencies across the country that independently book cruises, tour, and land vacations. Cruise Planners has achieved Top Producer status with virtually every cruise line, tour, and resort company. Cruise Planners has been named the No.1 Cruise Tour / Travel Agency by Entrepreneur Magazine for the past 10 years and recently featured in Entrepreneur as one of the top 30 franchise innovators in technology. Cruise Planners positions franchise owners for success by providing them with innovative marketing, booking and lead-generating tools as well as professional development and hands-on training with the industry&rsquo;s top executives. Cruise Planners Home Office has won awards such as Coolest Offices and Top Places to Work in South Florida by Sun Sentinel and South Florida Business Journal.
 
 
 <ul>
 <li>
 Candidates must be authorized to work for ANY employer in the United States. We are unable to sponsor or take over sponsorship of an employment Visa**
 
 
 </li>
 </ul>
 
 Job Summary
 
 
 
 This position is responsible for handling a wide range of finance related tasks associated with cash receipts, cash posting and investigating discrepancies to eliminate unapplied payments.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Record daily wire and ACH transactions in NetSuite, including updates to the deposit log and general ledger.
 </li>
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 Sort and process mail, create both manual deposits and lockbox deposits and scan all relative information for posting.
 </li>
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 Follow up with vendors to obtain missing remittance information
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 Upload payments from Paymode and researching any discrepancies.
 </li>
 <li>
 Maintain an accurate master deposit log to support timely reconciliation and audit readiness.
 </li>
 <li>
 Post commission deposits to the respective deposit log timely and accurately.
 </li>
 <li>
 Monitor cash repository accounts to ensure that activity is being posted to the correct GL accounts.
 </li>
 <li>
 Record batch credit card &amp; CVENT journal entries daily.
 </li>
 <li>
 Reconcile credit card repository account daily.
 </li>
 <li>
 Reconcile V3V5 weekly &ndash; cash receipts journal and the commission recall journal to ensure that all deposits reconcile in both MCP and general ledger.
 </li>
 <li>
 Review customer service tickets daily for questions on agent coop, missing commissions, and other ancillary deposit questions
 </li>
 <li>
 Provide customer service by assisting with phone calls regarding agents and vendor inquiries.
 </li>
 <li>
 Process ACH returns for commission payments to agents due to closed or incorrect bank information.
 </li>
 <li>
 Research unapplied payments by obtaining and reviewing remittance information to determine the appropriate deposit classification (coop, override, or commission)
 
 
 </li>
 </ul>
 
 
 The items listed above are intended to provide an overview of the essential functions of the job.
 
 
 
 
 
 
 This is not an exhaustive list of all functions and responsibilities that the position may be required to perform.
 
 
 
 
 
 
 Competencies
 
 
 
 
 <ul>
 <li>
 Highly organized with the ability to accurately identify, prioritize, and process a high volume of deposits in a timely manner.
 </li>
 <li>
 Proficient in Microsoft Excel, including VLOOKUPs and pivot tables.
 </li>
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 Highly organized with the ability to manage multiple priorities and meet deadlines.
 </li>
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 Strong time management and attention to detail.
 </li>
 <li>
 Ability to research and resolve payment discrepancies and reconciliation issues.
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
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 Associate degree/bachelor's degree preferred
 </li>
 <li>
 2+ years of Accounts Receivable experience
 
 
 </li>
 </ul>
 
 
 This is a hybrid role (Remote: Mondays and Fridays, Onsite: Tuesdays, Wednesdays and Thursdays)
 
 
 
 
 
 
 Cruise Planners provides equal employment opportunities (EEO) to all team members and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, or status as a covered veteran in accordance with applicable federal, state and local laws. Cruise Planners complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities or team members. This policy applies to all terms and conditions of employment.
 
 
</div>

Accounts Receivable Specialist - (Hybrid)

RCM Centric Inc

Our office is looking for a skilled and committed Medical Billing A/R Specialist to join our team. As the Medical Billing A/R Specialist, you will be responsible for analyzing data, evaluating information, and making sound decisions. Your daily tasks will include managing billing software, appealing denied claims, following up on insurance claims, taking action, reviewing denials, reviewing rejections, and tracking late payments. To excel in this role, it is essential to have a thorough understanding of billing software and medical insurance policies.Additionally, strong written and verbal communication skills are required as communicating with clients and insurance agents will be a significant aspect of the job. This is an onsite full-time position with competitive compensation and benefits package. If you are a self-motivated individual with a passion for medical billing and a commitment to providing excellent customer service, we encourage you to apply.Responsibilities:<ul><li>Preparing and submitting billing data and medical claims to insurance companies.</li><li>Ensuring the patient&rsquo;s medical information is accurate and up to date.</li><li>Preparing bills and invoices, and documenting amounts due for medical procedures and services.</li><li>Collecting and reviewing referrals and pre-authorizations.</li><li>Monitoring and recording late payments.</li><li>Maintain the protocols and documentation of each performed task.</li><li>Following up on missed payments and resolving financial discrepancies.</li><li>Follow-Up on unpaid claims within the Standard Billing Cycle timeframe.</li><li>Communicating with Providers, Insurance Companies and assisting Patients.</li><li>Handling Account Receivables, Denial Management, and Appeal Management.</li><li>Maintaining accurate records of payments received and outstanding balances.</li><li>Working with the Billing Manager to ensure that all payments are processed.</li><li>Examining patient bills for accuracy and requesting any missing information.</li><li>Investigating and appealing denied claims.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in business, health care administration, accounting, or a relevant field.</li><li>A minimum of 2 years of experience as an A/R Specialist or similar role.</li><li>Solid understanding of billing software and electronic medical records.</li><li>Must have the ability to multitask and manage time effectively.</li><li>Excellent written and verbal communication skills.</li><li>Outstanding problem solving and organizational abilities.</li></ul>Job Rewards and Benefits:<ul><li>Paid Leaves</li><li>Saturday and Sunday Off</li><li>Leave Encashment</li><li>Tea &amp; Dinner</li><li>Inflation Bonus</li><li>Attendance Bonus</li><li>Fuel Allowance</li></ul>Job Type: Full-timePay: Rs60,000.00 - Rs80,000.00 per monthExperience:<ul><li>A/R Management: 2 years (Preferred)</li><li>Medical Billing: 2 years (Preferred)</li></ul>Work Location: In person

Medical Billing A/R Specialist- NIGHT SHIFT

TEEMA Group

<div><h2 class="jobSectionHeader">Patient Account Specialist Senior</h2><h3 class="jobSectionHeader">
Role Summary</h3>
Take a senior-level seat in a high-performing medical collections unit where your expertise directly impacts the financial health of a premier healthcare system. As a Senior Patient Account Specialist, you will navigate the complexities of insurance reimbursement, identifying and resolving denied or underpaid claims with precision and speed. This role is perfect for a detail-oriented professional who enjoys solving financial puzzles and advocating for proper reimbursement through professional communication with payers, patients, and vendors. You will be a key contributor to maintaining the structural integrity of the accounts receivable process while ensuring world-class patient and client satisfaction.
Key Duties:<ul><li>
Revenue Recovery: Collect outstanding balances from commercial, governmental, and third-party payers to ensure full and proper reimbursement for medical services.</li><li>
Claims Resolution: Proactively identify denied or underpaid claims, implementing timely solutions and appeals within specific payer guidelines.</li><li>
Knowledge Leadership: Maintain an expert-level understanding of payer claims processing, appeal procedures, provider contracts, and various payment methodologies.</li><li>
Technical Proficiency: Utilize a deep understanding of standard billing forms, filing requirements, and Explanation of Benefits (EOB) while navigating online payer portals.</li><li>
Trend Analysis: Identify and communicate recurring issues or industry trends that impact account resolution and overall reimbursement efficiency.</li><li>
Comprehensive Account Management: Manage both active Accounts Receivable (AR) and Bad Debt (BD) inventory, ensuring all documentation is accurate and compliant with state and federal guidelines.</li><li>
Stakeholder Collaboration: Facilitate professional communication with patients, clients, and reimbursement vendors to resolve complex account issues.</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Experience: Strong professional background as a medical collection specialist with a proven track record of resolving complex healthcare accounts.</li><li>
Skills: Expert knowledge of medical collection work processes and insurance reimbursement cycles.</li><li>
Compliance: Ability to adhere strictly to all client, state, and federal collection guidelines.</li><li>
Medical Requirements: Must complete all required medical screenings prior to start.</li></ul><h3 class="jobSectionHeader">
Desired Qualifications</h3><ul><li>
Communication: Exceptional interpersonal skills with the ability to manage conflict and provide a high level of patient and client satisfaction.</li><li>
Analytical Ability: Strong skills in identifying reimbursement trends and navigating various payer payment methodologies.</li><li>
System Knowledge: Familiarity with TLRA collection unit processes or similar large-scale hospital billing systems.</li></ul><h3 class="jobSectionHeader">
Location and Work Type</h3><ul><li>
Setting: Hospital Corporate Office / TLRA Collection Unit</li><li>
Work Type: On-site</li><li>
Location: Lake Charles, LA</li><li>
Schedule: Monday &ndash; Friday (8-hour shifts)</li><li>
Education Note: High School Diploma/GED verification is no longer required for this specific role.</li></ul>
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951. 
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf</div>

Patient Account Specialist Senior

Maharah Human Resources Company

<div>Job Summary: 
Maharah Human Resources Company is seeking a detail-oriented and organized Accounts Receivable specialist to manage the company&rsquo;s invoicing and collections processes. The successful candidate will ensure timely and accurate recording of incoming payments, maintain customer account information, and support financial reporting.
Key Responsibilities:<ul><li>
Prepare and send invoices to clients accurately and on time
</li><li>Monitor accounts receivable aging and follow up with customers on overdue payments
</li><li>Maintain updated records of customer payments and account statuses
</li><li>Reconcile accounts receivable ledger to ensure all payments are accounted for and properly posted
</li><li>Collaborate with sales and finance teams to resolve billing discrepancies and inquiries
</li><li>Generate reports related to accounts receivable for management review
</li>Ensure compliance with company policies and relevant financial regulations 
<li>
</li></ul> 
 
Requirements 
<ul><li>
Bachelor&rsquo;s degree in Accounting, Finance, or related field
</li><li>Proven experience in accounts receivable or similar financial roles
</li><li>Strong knowledge of accounting principles and financial procedures
</li><li>Proficiency in accounting software and MS Excel
</li><li>Excellent attention to detail and organizational skills
</li><li>Good communication and interpersonal abilities
</li><li>Ability to manage multiple priorities and meet deadlines</li></ul></div>

Accounts Receivable

Aveanna Healthcare

<div><div>Billing Specialist
Start Date: Tentative / Pay: $18-$19/HR
Schedule: Monday - Friday / 8am - 5pm MST
*All Candidates must be auhorized to work in the United States without sponsorship*
Position Overview
As a Billing Specialist, you&rsquo;ll play a vital role within our Reimbursement Team, ensuring accurate and timely collection of patient accounts while supporting the financial health of our organization. You will be responsible for managing aged accounts, resolving billing issues, and working closely with internal teams and payers to secure proper reimbursement.
We are looking for someone who can confidently manage accounts receivable, stay organized in a fast-paced environment, and communicate effectively with both internal teams and external payers. Whether you have experience in medical billing or are looking to grow within healthcare revenue cycle, this role offers the opportunity to build valuable expertise.
Our Mission: To revolutionize the way homecare is delivered, one patient at a time.
Why Join Us?<ul><li>
100% Remote</li><li>
Equipment Provided</li><li>
Fun, Inclusive Work Environment</li><li>
Full Benefits Package (Sick Time, Vacation, 401K, Dental, Vision, Life Insurance)</li><li>
2 Bonus Days Off (&ldquo;Fun Day&rdquo; and &ldquo;Inclusion Day&rdquo;)</li><li>
6 Paid Holidays</li><li>
Supportive Team with Role-Based Training to Aid in Your Success</li><li>
Internal Opportunities for Growth</li><li>
Interactive Clubs and Engagement Opportunities</li></ul>
What You'll Do:<ul><li>
Resolve delinquent accounts receivable across commercial, Medicare, Medicaid, and private payers</li><li>
Follow up on unpaid, underpaid, and denied claims to ensure maximum reimbursement</li><li>
Document collection activity and payer communications accurately in the EMR</li><li>
Submit adjustments and coordinate claim corrections or rebilling as needed</li><li>
Review payer correspondence and address patient or guarantor billing inquiries</li><li>
Meet departmental productivity, A/R aging, DSO, and cash collection goals</li><li>
Ensure compliance with payer requirements, SOX controls, and internal policies</li></ul>
The Right Fit Is:
<ul><li>Has Healthcare billing or accounts receivable experience</li><li>
Strongly knowledged with insurance billing and denial resolution</li><li>
Detail-oriented with a strong sense of urgency and ownership</li><li>
Able to prioritize work and meet deadlines in a remote environment</li></ul>
Remote Work Requirements:
<ul><li>Ability to maintain a quiet, dedicated workspace that is free of background noise and ongoing distractions</li><li>
Ability to participate in virtual meetings with a professional, camera-ready presence</li><li>
Ability to demonstrate strong time-management skills, as well as accountability and self-direction</li><li>
Must be able to operate off reliable, high-speed internet</li></ul>
Position Qualifications:
<ul><li>2+ years of healthcare billing or accounts receivable experience</li><li>
Knowledge of Medicare, Medicaid, and commercial payer requirements</li><li>
Experience with denials management and AR follow-up</li><li>
Proficiency in EMR systems and Microsoft Office</li><li>
Must be fluent in English with the ability to read, write, and verbally communicate in English</li></ul>
Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.</div>
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida</div>

Billing Specialist (REMOTE)

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