Accounts Receivable Specialist: Insurance Claims & Collections

EmpowerMe Wellness; Northern (KY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

EmpowerMe Wellness is seeking an Accounts Receivable Specialist in Northern Kentucky to manage rejected, denied, and outstanding insurance claims, ensuring billing accuracy. You will research issues, communicate with payers, and support credentialing to keep claims moving smoothly.

The role demands strong attention to detail, healthcare billing knowledge, and the ability to collaborate cross-functionally with verification and Billing Supervisor teams.

Qualifications

• Bachelor’s or Associate degree with healthcare office experience.
• Detail-oriented, data-driven with strong communication.
• Experience with medical billing and credentialing preferred.

Responsibilities

• Complete accounts receivable collections and follow-ups to expedite insurance payments for assigned claims.
• Contact insurance companies via phone, mail, or clearinghouse correspondence to address inquiries and update information.
• Communicate claim issues related to patient benefits to the verification team and field staff for resolution.
• Proactively collaborate with third-party payers to resolve claims processing issues and stay updated on plan requirements.
• Assist in streamlining policies and procedures for more effective operations of third-party carriers, reporting to Billing Supervisor.
• Prepare and assist with monthly reports focusing on key indicators, payer issues, and unit performance to improve metrics (DSO).
• Process appeals by gathering required documentation, resubmitting claims, and following up promptly to track resolution.
• Maintain compliance with HIPAA and CMS guidelines in all interactions and documentation.

Skills

Accounts receivable

Insurance claims

Data analysis

Communication

Multitasking

Customer service

HIPAA compliance

Education

Bachelor’s or Associate degree

High School diploma/GED with 5 years experience

Tools

EMR systems

Medical billing software

Microsoft Excel

Job description

EmpowerMe Wellness is seeking an Accounts Receivable Specialist in Northern Kentucky to manage rejected, denied, and outstanding insurance claims, ensuring billing accuracy. You will research issues, communicate with payers, and support credentialing to keep claims moving smoothly.

The role demands strong attention to detail, healthcare billing knowledge, and the ability to collaborate cross-functionally with verification and Billing Supervisor teams.