Contact insurance payors by telephone or online regarding non-payment or short payment on outstanding claims
Contact patient on outstanding balances, assist with payment plans and financial hardships
Review denied claims and determine next level of action
Resubmit corrected claims to payors for reprocessing
Respond to insurance payor correspondence
Work AR aging reports for payors and patients
Print and mail claim forms to insurance payors as need
Submit write-offs, adjustments, and refunds
Daily processing of tasks assigned directly to you from the billing software system
Work accounts promptly to ensure claims are processed appropriately
Provide exceptional customer service to all internal and external customers
Remain conscious of all policy changes and denial trends implemented by insurance payors
Meets work standards by following production and productivity quality standards
Perform other duties as assigned

Minimum 1 year of experience in medical billing, collections, and accounts receivable
Experience with claims processing and insurance payer requirements (Medicare, Medicaid, commercial)
High school diploma or equivalent required
Prior remote work experience preferred
Availability to work 8:00 AM – 5:00 PM Eastern Time
Strong problem-solving and analytical skills
Effective verbal and written communication
Ability to work independently and collaboratively
Detail-oriented with a focus on accuracy and quality
Strong time management and productivity skills
Adaptable in a fast-paced, changing environment
Reliable, accountable, and able to meet deadlines
Proficient in Microsoft Office (Excel, Word, Outlook)

Accounts Receivable Specialist

Key skills