Accounts Receivable Specialist 

Job Description

REQUIREMENTS

• High school diploma or equivalent required
• Minimum of 3 years of experience in healthcare accounts receivable or revenue cycle
• Strong understanding of insurance denials, appeals, and claims follow-up processes
• Experience working with both government and commercial payers
• Ability to analyze EOBs, remits, and claim details to determine appropriate next steps
• Comfortable working independently in a remote environment while managing productivity expectations
• Strong attention to detail and organizational skills
• Effective written and verbal communication skills

RESPONSIBILITIES

• Investigate and resolve insurance denials, including identifying root causes and submitting appeals when appropriate
• Work assigned AR inventory with a focus on aged and complex accounts to drive timely reimbursement
• Communicate with insurance carriers via phone, portals, and written correspondence to follow up on outstanding claims
• Review claim status, payment details, and EOBs to determine next steps for resolution
• Ensure claims meet payer-specific billing requirements and make necessary corrections for resubmission
• Accurately document all follow-up activity and maintain clear, detailed account notes
• Identify trends in denials or reimbursement issues and communicate findings to management
• Collaborate with internal teams to address process gaps and improve overall collections performance
• Maintain ownership of individual worklists and meet productivity and quality expectations
• Stay up to date on payer guidelines, policy changes, and billing requirements
• Assist with additional AR-related tasks as needed

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