Accounts Receivable Specialist

Exclusively Remote; Gqeberha; Remote; ZAR 200 000 - 300 000; Full time

Job summary

A healthcare finance firm is seeking an Accounts Receivable Specialist to manage medical billing, patient accounts, and insurance claims. The ideal candidate should have a diploma or degree in Accounting or Finance and at least 2-3 years of experience in healthcare accounts receivable. Proficiency in QuickBooks is essential. This remote position requires excellent attention to detail and communication skills, with working hours from 3pm to 11pm SA time.

Qualifications

• Minimum of 2-3 years of experience in healthcare accounts receivable or medical billing.
• Hands-on experience with QuickBooks and healthcare billing software.

Responsibilities

• Generate accurate invoices for patient services and insurance claims.
• Record and reconcile payments from patients and insurers.
• Track and manage insurance claim submissions and denials.
• Reconcile accounts to ensure all payments are accounted for.
• Respond to patient inquiries regarding billing and account status.
• Prepare and distribute accounts receivable reports.

Skills

Knowledge of healthcare billing procedures

Attention to detail

Analytical abilities

Effective communication skills

Proficiency in Microsoft Excel

Education

Diploma or degree in Accounting, Finance, Healthcare Administration

Tools

QuickBooks

Epic

Cerner

Medisoft

Job description

Accounts Receivable Specialist (Healthcare Industry)

We are seeking a detail-oriented and experienced Accounts Receivable Specialist to join our healthcare finance team. The ideal candidate will have a strong background in managing medical billing, patient accounts, and insurance claims, with proven expertise using QuickBooks. This role requires excellent communication skills, accuracy, and a commitment to maintaining patient confidentiality and compliance with healthcare regulations.

Working hours : 3pm to 11pm (SA time to accommodate our USA business hours)

Key Responsibilities:

• Billing and Invoicing:
  • Generate accurate invoices for patient services, insurance claims, and third‑party billing.
  • Verify patient information, insurance details, and coding accuracy before invoicing.
• Payment Processing:
  • Record and reconcile payments from patients, insurance companies, and other payers in QuickBooks.
  • Apply payments to patient accounts and update records accordingly.
• Claims Management:
  • Track insurance claim submissions, payments, and denials.
  • Follow up on outstanding insurance claims and appeal denials as needed.
• Account Reconciliation:
  • Reconcile accounts receivable ledger to ensure all payments are accounted for and properly posted.
  • Investigate and resolve discrepancies and billing errors.
• Patient Account Management:
  • Respond to patient and insurance inquiries related to billing and account status.
  • Assist with setting up payment plans and managing outstanding balances.
• Financial Reporting:
  • Prepare and distribute aging reports and other accounts receivable reports.
  • Monitor and report on key performance indicators related to collections and revenue.
• Compliance and Confidentiality:
  • Adhere to HIPAA regulations and company policies regarding patient information.
  • Ensure all documentation meets healthcare compliance standards.

Qualifications:

• Education: Diploma or degree in Accounting, Finance, Healthcare Administration, or a related field. Experience:
  • Minimum of 2-3 years of experience in healthcare accounts receivable or medical billing.
  • Hands‑on experience with QuickBooks and healthcare billing software (e.g., Epic, Cerner, Medisoft).
• Skills:
  • Strong knowledge of healthcare billing procedures, insurance claim processing, and patient account management.
  • Excellent attention to detail and accuracy.
  • Strong analytical and problem‑solving abilities.
  • Effective communication and customer service skills.
  • Proficiency in Microsoft Excel and other Office applications.
• Certifications: Certification in medical billing and coding is preferred (e.g., CPC, CPB).