Accounts Receivable Specialist (TEMPORARY, REMOTE)

CommUnityCare Health Centers; Austin (TX); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Accounts Receivable Specialist to join their remote team. This temporary role focuses on managing the revenue cycle by resolving outstanding insurance claims and ensuring accurate billing processes. The ideal candidate will possess strong problem-solving skills and a keen attention to detail, along with the ability to communicate effectively with various stakeholders. If you have a passion for healthcare and a knack for navigating complex billing scenarios, this opportunity offers a chance to make a significant impact in a vital sector.

Qualifications

• 3+ years managing Accounts Receivable and following up with payers.
• Experience with medical terminology, ICD10, CPT, HCPCS coding, and HIPAA.

Responsibilities

• Follow up with insurance carriers daily to collect past due amounts.
• Create and follow up on appeals to contest denials or incorrect payments.

Skills

Accounts Receivable Management

Customer Service

Data Entry

Problem-Solving

Attention to Detail

Education

High School Diploma or GED

Tools

Microsoft Office

Medical Practice Management Software

Excel

Job description

Accounts Receivable Specialist (TEMPORARY, REMOTE)

Join to apply for the Accounts Receivable Specialist (TEMPORARY, REMOTE) role at CommUnityCare Health Centers.

Reporting to the Accounts Receivable Supervisor, this role supports the CommunityCare Revenue Cycle Management (RCM) team in following up and resolving outstanding insurance claims. The main goal is to investigate, follow up on, and resolve claims submitted for payment, creating detailed notes on the status of each claim.

Please note that we currently hire candidates exclusively from the following states:

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

Essential Functions

• Follow up with insurance carriers daily to collect past due amounts for medical claims, addressing denials or benefit changes.
• Maintain an accurate aging of accounts, including AR analysis and follow-up.
• Stay informed on billing and medical policies for all payers.
• Understand reimbursement processes for In and Out of Network services.
• Create and follow up on appeals to contest denials or incorrect payments.
• Review complex denials and resolve issues, including refund requests, disputes, and appeals.
• Collaborate with all RCM departments to resolve claim payment issues.
• Ensure compliance with organizational policies, procedures, and values.
• Assist the AR Supervisor in reviewing and resolving open accounts.
• Perform other duties as assigned.

Knowledge, Skills, and Abilities

• Excellent relationship-building and customer service skills.
• Proficiency in data entry, research, and information retrieval using computers.
• Strong attention to detail, accuracy, and multitasking ability.
• Highly developed problem-solving skills.
• Professional and courteous communication with staff, payers, patients, and families.
• Adherence to ethical standards and organizational values.
• Ability to identify issues promptly and report them.
• Reliable attendance and ability to manage high work volumes independently.
• Monitoring claims processing steps effectively.

Minimum Education

• High School Diploma or GED

Minimum Experience

• At least 3 years managing Accounts Receivable and following up with payers.
• At least 1 year communicating effectively with insurance payers and internal teams.
• 3 years working with medical terminology, ICD10, CPT, HCPCS coding, and HIPAA.
• 2 years with data processing, Excel, Microsoft Office, and medical practice management software.
• 3 years working with various insurance payers and understanding their reimbursement policies.
• 3 years handling complex insurance issues, including payer assignment, EOB adjustments, and refunds.

Additional Details

• Seniority Level: Mid-Senior level
• Employment Type: Temporary
• Job Function: Accounting/Auditing and Finance
• Industries: Hospitals and Health Care

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