Job Summary:

We are seeking a detail-oriented and experienced Accounts Receivable Specialist to join our Revenue Cycle Management (RCM) team. The Accounts Receivable Specialist will be responsible for managing and optimizing the accounts receivable process for our clients in the healthcare industry. The ideal candidate will have a strong background in healthcare revenue cycle management and a proven track record of effectively managing accounts receivable functions. This role requires excellent organizational and communication skills, as well as a deep understanding of the RCM process and industry regulations.

Responsibilities:

• Manage the accounts receivable process for assigned clients, ensuring accurate and timely billing, payment posting, and collections
• Review and analyze accounts receivable aging reports to identify delinquent accounts and take appropriate actions to resolve outstanding balances
• Follow up with insurance companies, patients, and other stakeholders to resolve billing and payment discrepancies
• Collaborate with internal teams to resolve complex billing and coding issues that may impact accounts receivable
• Maintain accurate and up-to-date records of all accounts receivable activities, including payment history, adjustments, and collections efforts
• Prepare and submit claims and appeals to insurance companies as needed, ensuring compliance with industry regulations and payer requirements
• Provide regular reports and updates on accounts receivable performance to clients and internal stakeholders
• Stay up-to-date with industry regulations and best practices in accounts receivable management to ensure compliance and optimize revenue collection
• Assist with training and mentoring new team members on accounts receivable processes and best practices
• Collaborate with cross-functional teams, including billing, coding, and customer service, to streamline processes and improve overall revenue cycle performance

Requirements:

• High school diploma or equivalent; associate or bachelor’s degree in healthcare administration or a related field is preferred
• Minimum of 3 years of experience in healthcare revenue cycle management, with a focus on accounts receivable
• Strong knowledge of medical billing and coding processes, including CPT, ICD-10, and HCPCS codes
• Proficient in using billing and practice management software, as well as Microsoft Office Suite
• Excellent attention to detail and accuracy, with the ability to analyze and interpret complex billing and payment data
• Strong communication and interpersonal skills, with the ability to effectively communicate with insurance companies, patients, and internal stakeholders
• Ability to work independently and prioritize tasks in a fast-paced, deadline-driven environment
• Knowledge of industry regulations, including HIPAA and CMS guidelines