Accounts Receivable Specialist 2

📋 Description

• Manage claim follow-up activities and investigate payment issues.
• Support accurate reimbursement processes in healthcare billing.
• Collaborate with payers and internal teams to resolve outstanding accounts.
• Verify eligibility and authorization information through payer sites.
• Update patient demographics and insurance details in systems.
• Review EOBs to identify payments, adjustments, and resolution opportunities.

🎯 Requirements

• 2–3 years in medical collections, denials management, and appeals.
• Experience handling complex denials (DRG downgrades, level of care, coding, medical necessity).
• ICD-10, CPT, HCPCS, and NCCI coding knowledge.
• Understanding of third-party billing guidelines and reimbursement processes.
• Experience with UB-04 and CMS-1500 claim forms.
• Proficiency with healthcare IT systems (EMR, claim scrubbers, patient accounting).

🎁 Benefits

• Fully remote work opportunity across the United States.
• Competitive compensation range of $19–$22 per hour (based on experience).
• Full-time employment with opportunities to develop healthcare revenue cycle expertise.
• Opportunities to work on meaningful healthcare financial processes.
• Exposure to complex claims, payer relationships, and billing systems.