Accounts Receivable Specialist

Job Summary The Accounts Receivable Specialist is responsible for diligently tracking, collecting, and resolving overdue customer payments by contacting clients via phone and email. This role involves managing aged accounts, submitting appeals (specifically for healthcare claims), ensuring accurate record-keeping, and improving cash flow to meet collection goals. Additionally, the specialist confirms patient insurance coverage and benefits prior to services, acting as a liaison between patients, providers, and insurance companies to obtain authorizations and resolve billing discrepancies.
Key Responsibilities

• Collection & Follow-Up: Proactively contact customers or insurance payers regarding past-due invoices via various channels.


•  Discrepancy Resolution: Investigate and resolve billing errors, payment discrepancies, and customer disputes.


• Account Management: Maintain customer accounts, monitor aging reports, and update collection statuses in the system.


• Reporting: Generate and analyze AR reports, track collection metrics, and identify trends.


• Appeals & Re-billing: Handle denied or rejected claims, submit appeals, and request re-bills for insurance issues.


• Payment Processing: Process incoming payments and ensure correct application.


• Insurance Verification: Confirm patient eligibility and benefits for specific treatments via portals or phone.


• Authorizations: Secure necessary pre-authorizations and referrals as required by insurance plans.


• Data Entry: Accurately update patient insurance and financial information in the EHR.


• Collaboration: Act as a link between patients, clinical staff, and billing departments to improve processes.

Skills & Qualifications:

• Strong written/verbal communication and negotiation skills.


• Proficiency with AR software, ERP systems, and Microsoft Excel.


• Strong attention to detail and problem-solving abilities.


• Understanding of revenue cycle or billing procedures, particularly in healthcare.


• Ability to work independently and as part of a team.