Healthcare Accounts Receivable Specialist

Responsibilities: The specialist is responsible for persistently following up on submitted insurance claims to ensure timely payment and monitoring claim status. They identify payment issues, escalate them to management, and respond to internal and external medical customer inquiries.

Requirements: A bachelor's degree is preferred, and the role requires at least 2 years of claims follow-up experience, with 5+ years accepted in lieu of education. Candidates must be proficient in computer applications and familiar with insurance claim workflows and payer adjudication timelines.

Key skills: Claims Follow-up, Insurance Payer Communication, Claim Aging Tracking, HIPAA Compliance, Medicare Compliance, EMR Proficiency, Medical Billing, Verbal Communication, Written Communication, Spreadsheets, Organization, Detail Oriented

Keywords: Healthcare Accounts Receivable, Insurance Claims, Payer Adjudication, HMO, PPO, Medicare, Medicaid, HIPAA, EMR, Claim Aging, Medical Billing, Healthcare Finance