Accounts Receivable Specialist

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).