Accounts Receivable, Analysis Skills, Billing, Business Solutions, Clinical Medicine, Clinical Study Publications, Coding Standards, Communication Skills, Content Management Systems (CMS), Credit and Collections, Current Procedural Terminology (CPT), Demographics, Detail Oriented, Electronic Medical Records, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Common Procedure Coding System (HCPCS), Home Care, Hospital, ICD-10, Insurance, Insurance Claims, Leadership, Maintain Compliance, Medicaid, Medical Billing, Medical Coding, Medical Records, Medical Terminology, Medicare, Microsoft Excel, Multitasking, Nursing, Office Equipment, Operational Support, Organizational Skills, Patient Care Denials, Pediatrics, Problem Solving Skills, Productivity Management, Reimbursement, Spreadsheets, Team Player, Time Management, Trend Analysis
HealthPro Heritage has a great Remote - Medical Accounts Receivable Specialist Position available.
The Accounts Receivable Specialist plays a critical role in supporting the financial health of the organization by managing and following up on outstanding balances. This position is responsible for maintaining and updating the daily collections spreadsheet, ensuring timely follow-up on outstanding accounts throughout the day, and serving as a key resource within the Revenue Cycle department. The ideal candidate will bring strong attention to detail, persistence, and excellent communication skills to help drive effective collections and support overall revenue operations.
Why Choose HealthPro Heritage?
- Purpose-Driven Work: Be part of a mission-driven organization dedicated to compassionate care and innovative therapy solutions.
- Growth Opportunities: Enjoy continuous learning and development opportunities tailored to support your professional growth.
- Collaborative Culture: Thrive in a supportive environment where teamwork, respect, and open communication are at the heart of everything we do.
- Commitment to Excellence: Join a team recognized for clinical expertise and commitment to delivering high-quality care and outcomes.
- Competitive Benefits Package: Enjoy competitive compensation along with a comprehensive benefits package designed with YOU in mind!
Join Us in Making a Difference
At HealthPro Heritage, we offer a fulfilling career where you can positively impact lives and achieve personal and professional growth. As a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, and pediatric schools and clinics. Join us to be part of a team that values your skills, listens to your input, and makes a meaningful difference in the community.
Additional Important Details:
- Home office equipment provided
- Comprehesive Benefit Package
- 401k
- PRO & Sick Leave
- STD/LTD
- Compensation Rage for this position: $21-25/hour based on YOE.
Responsibilities:
Accounts Receivable Specialist are responsible for resolution of patient account balances associated with insurance denial, answer incoming insurance and practice calls as needed. AR Specialists will have the ability to explain charges, services and insurance billing questions. Accounts Receivable Specialist are also responsible for ensuring accuracy as well as verifying completed and precise medical record(s) for the interpretation of clinical documentation completed by the medical staff to correctly assign appropriate ICD10, CPT and/or HCPCS codes in conjunction with the coding/clinical teams.
- Submit, manage, and follow up on insurance claims using Net Health and Waystar.
- Investigate, appeal, and resolve denied or unpaid insurance claims.
- Review EOBs, ERAs, authorizations, referrals, medical records, and remittance advice to ensure accurate reimbursement.
- Monitor aging reports and perform timely follow-up to maximize collections.
- Document all claim activity accurately within the billing system.
- Research and correct registration, demographic, and insurance issues to ensure clean claim submission.
- Communicate with insurance companies, providers, and internal teams to resolve billing issues.
- Collaborate with Coding, Appeals & Denials, Credentialing, Cash Posting, and Patient Accounts teams.
- Assist patients with billing questions and payment resolution as needed.
- Ensure compliance with HIPAA, CMS, OIG, payer guidelines, and professional coding standards.
- Analyze denial trends and report findings to leadership to improve reimbursement.
- Maintain productivity while managing multiple priorities in a fast-paced environment.
Qualifications:
Ideal Candidate will have:
- 2+ years of medical billing, accounts receivable, or revenue cycle experience preferred.
- Experience with ProFee insurance claims, denials, appeals, and collections.
- Proficiency with Net Health, Waystar, or similar billing/EMR systems.
- Knowledge of EOBs, ERAs, authorizations, referrals, medical records, and payer guidelines.
- Understanding of Medicare, Medicaid, commercial insurance, and the revenue cycle.
- Familiarity with medical terminology, CPT, ICD-10, and HCPCS.
- Strong analytical, organizational, and problem-solving skills with attention to detail.
- Excellent communication skills and ability to collaborate across teams.
- Ability to manage a high-volume workload and meet deadlines.
- Knowledge of HIPAA, CMS, and healthcare compliance.
- Proficiency in Microsoft Excel and other business software.