- Experience
- 3–5 yrs
- Salary
- —
- Openings
- 1
- Posted
- 2 weeks ago
- Work mode
- Work from home
- Education
- High school diploma or equivalent
- Eligibility
- Open to candidates based in the United States who have the required healthcare billing, collections, or revenue cycle background and can work remotely.
- Resume
- Required to apply
Job description
Role overview
This opportunity is shared on behalf of a partner organization that handles the full application process and all subsequent hiring steps. The hiring company is seeking a Specialist, Accounts Receivable in the United States.
The role centers on insurance payer follow-up and improving cash recovery within a healthcare revenue cycle setting. You will be responsible for helping resolve unpaid claims, finding and removing barriers to reimbursement, and supporting accurate revenue recovery. Success in this position depends on strong analytical ability, persistence, and close attention to detail while working through complex payer workflows. Although the job is remote, you will work with internal teams and manage assigned account inventories on your own. The work contributes directly to the financial health of healthcare providers by strengthening reimbursement performance in a fast-moving, results-focused environment.
Key accountabilities
- Track down unresolved insurance claims through consistent follow-up, investigation, and escalation so reimbursement is received correctly and on time.
- Work assigned accounts to clear outstanding claims and obtain payment from insurance carriers.
- Review claim problems, determine the underlying cause of denials or delays, and choose the right path to resolution.
- Escalate items that remain unresolved to payer supervisors or management when routine follow-up does not succeed.
- Record account actions carefully in structured formats and internal workflow tools.
- Apply the correct status and root-cause codes to support reporting, trend review, and operational improvements.
- Draft and submit first- and second-level appeals to challenge denials and recover owed payments.
- Examine incoming account-related correspondence and take the appropriate next step to resolve the issue.
- Meet productivity expectations, quality benchmarks, and client-specific compliance requirements.
- May also support underpayment recovery tasks as directed by management.
Requirements
Candidates should have a solid background in healthcare revenue cycle work, a sharp eye for detail, and the confidence to handle insurance collections independently.
- High school diploma or equivalent is required; additional training in healthcare billing or insurance is considered an advantage.
- 3 to 5 years of experience in hospital billing, collections, or revenue cycle follow-up.
- Strong knowledge of healthcare revenue cycle operations and payer reimbursement methods.
- Familiarity with medical terminology and coding systems including ICD-10, CPT, and DRG.
- Ability to operate independently in a remote, high-volume, target-driven setting.
- Strong analytical and critical-thinking ability with excellent attention to detail and accuracy.
- Intermediate-level Microsoft Excel skills are preferred.
- Clear communication skills, including the ability to respond to patient account questions while protecting confidentiality.
- Well-developed organization and time-management skills to handle multiple accounts and deadlines.
- Experience with problem-solving, denial management, and claim resolution methods.
Benefits
- 100% remote work arrangement within the United States.
- Chance to contribute in a mission-oriented healthcare environment that supports community hospitals.
- Exposure to the full healthcare revenue cycle from end to end.
- Collaborative, team-focused culture with opportunities for professional growth.
- Competitive pay aligned with experience and market standards.
- Long-term stability with an established healthcare services provider.
- Remote-work tools and systems are supplied to support efficient communication and productivity.
Application and hiring notes
This employer uses an AI-supported matching process to review applications quickly, consistently, and fairly against the role’s core requirements. The system helps identify the best-fitting candidates, and the resulting shortlist is passed directly to the hiring company. Interviews, assessments, and final hiring decisions are managed by the employer’s internal team.
By applying, candidates acknowledge that their personal data may be processed to assess suitability and share relevant information with the hiring employer under applicable data protection principles, including legitimate-interest and pre-contractual basis where relevant. Applicants may exercise data rights such as access, correction, deletion, and objection at any time.
The recruitment process may also use AI tools to help review applications, analyze resumes, assess responses, and flag possible inconsistencies or verification signals. These tools support the recruitment team but do not replace human judgment; final hiring decisions are made by people. For more information about data handling, candidates may contact the hiring team.