Accounts Receivable Specialist

Exclusively Remote; Remote; ZAR 350 000 - 450 000; Full time

Job summary

A healthcare finance company is seeking an experienced Accounts Receivable Specialist to manage medical billing, patient accounts, and insurance claims. The ideal candidate should have a degree in Accounting or Finance, at least 2-3 years of relevant experience, and expertise in QuickBooks. Responsibilities include generating invoices, processing payments, and ensuring compliance with healthcare regulations. Strong analytical, communication, and customer service skills are essential for this role. This position offers a chance to support a dedicated finance team in a dynamic healthcare environment.

Qualifications

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

Responsibilities

• Generate accurate invoices for patient services and claims.
• Record and reconcile payments in QuickBooks.
• Track and manage insurance claims and denials.
• Reconcile accounts receivable ledger to ensure accuracy.
• Respond to patient and insurance inquiries related to billing.

Skills

Healthcare billing procedures

Insurance claim processing

Patient account management

Attention to detail

Analytical problem-solving

Communication skills

Customer service

Microsoft Excel

Education

Diploma or degree in Accounting, Finance, Healthcare Administration, or related field

Tools

QuickBooks

Healthcare billing software

Microsoft Office

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).