Accounts Receivable Specialist

TalentLNX; Jacksonville (FL); Hybrid; USD 42,000 - 50,000; Full time

Job summary

TalentLNX in Jacksonville, FL is seeking an Accounts Receivable Specialist to resolve aged insurance receivables and recover revenue on denied, underpaid, and rejected claims. This full-time, on-site role requires reading EOBs fluently and turning denials into payments.

You will manage an assigned A/R book, follow up with payers, and build appeal packets for revenue recovery. The ideal candidate has 2+ years in insurance A/R, knowledge of CPT/ICD-10/HCPCS, and experience with payer portals and

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Minimum 2 years of insurance A/R follow-up experience in healthcare setting required.
• Working knowledge of CPT, ICD-10, HCPCS coding and CMS-1500/UB-04 forms required.
• Experience navigating payer portals such as Availity, NaviNet, or Trizetto and clearinghouse platforms.
• Familiarity with Medicare, Medicaid, and major commercial payer billing and appeals processes.
• Experience with a major practice management or billing system preferred.
• Strong problem-solving skills and ability to work aged accounts independently.

Responsibilities

• Manage assigned book of insurance A/R to resolve balances through payer follow-up, appeals, and resubmissions.
• Identify and resolve claim rejections, denials, and underpayments across Medicare, Medicaid and commercial payers.
• Review Explanation of Benefits and remittance advice to determine next actions.
• Initiate and track formal appeals with supporting documentation.
• Contact payers via phone, portal, or written correspondence to resolve payments.

Skills

Insurance A/R follow-up

Healthcare billing

CMS-1500/UB-04 knowledge

CPT/ICD-10/HCPCS coding

Payer portal navigation

Problem solving

Independent work

Education

High school diploma or equivalent

Associate degree in healthcare or business

Tools

Availity

NaviNet

Trizetto

Clearinghouse platforms

Job description

Location: Jacksonville, FL (Greater Metro Area)

We are seeking an Accounts Receivable Specialist to resolve aged insurance receivables and recover revenue on denied, underpaid, and rejected claims. This position is a full-time, direct hire opportunity based in the greater Jacksonville, FL metro area.

This role is best aligned for a billing professional who reads an EOB fluently and knows how to turn a denial into a payment. You will work an assigned book of insurance A/R, drive claims to resolution with payers, and build the appeal packets that recover revenue the organization has already earned. The ideal candidate is persistent on the phone, confident navigating payer portals, and takes real satisfaction in clearing aged accounts.

Responsibilities:

• Work an assigned book of insurance A/R accounts to resolve outstanding balances through payer follow-up, appeals, and resubmissions


• Identify and resolve claim rejections, denials, and underpayments across Medicare, Medicaid, and commercial payers


• Research and interpret Explanation of Benefits and remittance advice to determine the appropriate next action


• Initiate and track formal appeals on inappropriately denied claims with supporting clinical and billing documentation


• Contact payer representatives by phone, portal, and written correspondence to resolve payment issues


• Escalate complex payment disputes and contract interpretation questions to management


• Document all collection activity in the practice management system with clear, auditable notes


• Meet individual productivity and collection targets on a weekly and monthly basis


• Identify and report payer trends including systematic underpayments, processing delays, and policy changes


• Verify claim data and correct coding or demographic errors before resubmission to prevent repeat denials

Qualifications:

• High school diploma or equivalent required; associate degree in healthcare or business preferred


• Minimum of 2 years of insurance A/R follow-up experience in a healthcare setting required


• Working knowledge of CPT, ICD-10, and HCPCS coding and the CMS-1500 and UB-04 claim forms required


• Experience navigating payer portals such as Availity, NaviNet, or Trizetto and clearinghouse platforms required


• Familiarity with Medicare, Medicaid, and major commercial payer billing and appeals processes


• Experience with a major practice management or billing system preferred


• Strong problem-solving skills, phone persistence, and the ability to work aged accounts independently

Schedule:

• Full-time position


• On-site in the greater Jacksonville, FL metro area


• Standard business hours, Monday through Friday


• Standard full-time schedule of 40 hours per week

Salary Range:

The salary range for this position is approximately $42,000 – $50,000 annually ($20.19 – $24.04 per hour), based on experience and qualifications.

Interview Process:

Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.