Accounts Receivable Specialist

Full-time · Reports to RCM Manager · Remote

Role Overview

As our Accounts Receivable Specialist, you'll own the follow-through on claims after they're submitted — chasing down payment, resolving denials, and closing the gap between care delivered and cash collected. You'll work closely with our RCM and claims platform (Candid), our scheduling/EMR system, and our billing leadership to keep receivables moving instead of aging. This is a hands-on, high-impact role at a company where collection speed and accuracy directly determine how fast we can grow.

What You'll Own

• Manage an assigned book of insurance accounts receivable, working claims from submission through final resolution to keep aging balances down.
• Follow up with payers on outstanding claims, underpayments, and payment discrepancies, and drive them to close.
• Investigate and resolve claim denials and rejections — corrected claims, appeals, and reconsiderations with the documentation payers require.
• Review claim edits and rejections before and after submission to reduce repeat denials, partnering with our RCM team on root causes.
• Post and reconcile insurance payments, adjustments, and remittances accurately and on schedule.
• Research and resolve unapplied cash, overpayments, and underpayments against contracted reimbursement rates.
• Track and report on AR aging, denial trends, and payment posting accuracy, feeding directly into our weekly RCM flash report.
• Respond professionally to patient questions about claims, balances, and billing, and escalate payer or system issues to the right owner.
• Flag recurring reimbursement or process issues and recommend fixes that reduce denials and speed up collection.

What Success Looks Like

• Cash collection rate climbs measurably toward our company target
• Denials in your book get resolved rather than aged out — fewer claims sit past timely filing deadlines.
• Payment posting is accurate and current, so RCM reporting reflects reality rather than a backlog.
• Patterns you catch (a payer, a code, a workflow gap) turn into process fixes, not just one-off saves.

What You'll Bring

Required

• 3+ years of healthcare revenue cycle experience with a focus on accounts receivable, payment posting, or insurance billing.
• Working knowledge of medical billing, insurance claims processing, and payer reimbursement.