Accounts Receivable Specialist (REMOTE)

Communitycaretx; Austin (TX); Remote; USD 60,000 - 100,000; Full time

Job summary

A leading health center in Austin is seeking an Accounts Receivable Specialist to manage and resolve outstanding insurance claims. The role involves daily communication with insurance carriers, maintaining account accuracy, and collaboration with RCM departments. Ideal candidates will have experience in healthcare billing and a strong understanding of insurance terminology.

Qualifications

• 3 years managing Accounts Receivable and handling complex insurance issues.
• 2 years proficiency in Excel and Microsoft Office.
• 1 year effective communication with insurance payers.

Responsibilities

• Follow up on outstanding medical claims and investigate denials.
• Maintain accurate aging of assigned accounts, including AR analysis.
• Collaborate to resolve claims payment issues and ensure compliance.

Skills

Excellent relationship-building

Customer service skills

Problem-solving skills

Attention to detail

Ability to multitask

Education

High School Diploma or GED

Tools

Microsoft Office

Medical practice management software

EMRs

Job description

2 weeks ago Be among the first 25 applicants

Overview

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow-up and resolution of outstanding insurance claims. The goal of the position is to follow up on, investigate, and resolve claims that have been submitted to insurance for payment, and to create detailed notes that provide insight into the current status of the individual claims.

Please note that we currently hire candidates exclusively from the following states: Applicants outside these states will not be considered for employment at this time.

• Arizona
• Connecticut
• Florida
• Georgia
• Michigan
• North Carolina
• Ohio
• Texas

Responsibilities

Essential Functions:

• Contact insurance carriers daily to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes.
• Maintain an accurate, up-to-date aging of assigned accounts, including AR analysis and follow-up.
• Stay educated on billing and medical policies for all payers.
• Have a working knowledge of In and Out of Network reimbursement processes/methodologies.
• Create and follow up on appeals needed to protest denials or incorrect payments.
• Review complex denials/tasks assigned by the payment posting team and resolve accordingly, including refund requests, disputes, and appeals.
• Collaborate across all RCM departments to resolve claims payment issues.
• Ensure compliance with all company policies, procedures, and organizational values.
• Work with AR Supervisor to review/resolve open accounts as assigned.
• Perform other duties as assigned.

Knowledge, Skills, and Abilities

• Excellent relationship-building and customer service skills.
• Proficiency in computer data entry, research, and information retrieval.
• Strong attention to detail, accuracy, and ability to multitask.
• Highly developed problem-solving skills.
• Professional and courteous interaction with staff, payers, patients, and families.
• Adherence to ethical standards and organizational policies.
• Prompt issue identification and reporting.
• Reliable and predictable attendance.
• Ability to manage high work volumes and organize schedules independently.
• Effective monitoring of claims processing steps.

Qualifications

Minimum Education: High School Diploma or GED

Minimum Experience:

• 3 years managing Accounts Receivable and following up with payers.
• 1 year effective communication with insurance payers and internal teams.
• 3 years working with medical terminology, ICD10, CPT, HCPCS coding, and HIPAA.
• 2 years proficiency in Excel, Microsoft Office, medical practice management software, and EMRs.
• 3 years working with commercial, government, and state insurance payers and policies.
• 3 years handling complex insurance issues, including payer assignment, EOB adjustments, and refunds.

Additional Details

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Accounting/Auditing and Finance
• Industry: Accounting

Referrals increase your chances of interviewing at CommUnityCare Health Centers by 2x.

Get notified about new Accounts Receivable Specialist jobs in Austin, TX.

Austin, TX $75,000.00-$100,000.00 2 weeks ago

Austin, TX $60,000.00-$75,000.00 5 days ago

Austin, TX $60,000.00-$75,000.00 1 month ago

Austin, Texas Metropolitan Area 5 days ago

Customer Support Specialist - Accounts Payable

Austin, Texas Metropolitan Area $60,000.00-$70,000.00 8 hours ago

Austin, TX $50,000.00-$55,000.00 1 week ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.