Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information
Prioritize daily workload using aging reports, account balances, and management-directed priorities
Investigate and pursue unpaid claims with third-party payors until resolution is achieved
Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans
Maintain compliance with all Protected Health Information (PHI) security requirements
Ensure consistent processing standards with a high level of accuracy and low error rates
Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections
Respond to Requests for Additional Information (RAIs) and provide direction on next steps
Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues
Perform additional duties as assigned to support Revenue Cycle operations

Experience with insurance collections, including Medicaid, Managed Care, BCBS, and Commercial accounts
Knowledge of medical billing procedures, health plans, and claims processing
Strong organizational skills with high attention to detail
Proficiency in Microsoft Word and Excel
Experience working with medical billing systems (e.g., EPIC, Allscripts, McKesson, or similar platforms)
High School Diploma or equivalent

Paid time off & holidays so you can spend time with the people you love
Medical, dental, and vision insurance for you and your loved ones
Health Savings Account (with employer contribution) or Flexible Spending Account options
Employer Paid Basic Life and AD&D Insurance
Employer Paid Short
and Long-Term Disability w Optional Short Term Disability Buy-up plan
Paid Parental Leave
401(k) Savings Plan with match
Legal Plan & Identity Theft Services
Mental health support and resources

Patient Accounts Receivable Specialist

About this role