Detail-oriented and proactive Medical Accounts Receivable Specialist needed to join a healthcare finance team. This role focuses on optimizing revenue cycles, ensuring accurate account reconciliation, improving collections, and supporting the financial health of the organization through careful claims processing and customer service.
Responsibilities include reviewing healthcare claims for accuracy, following up on unpaid or denied claims, managing accounts receivable balances, applying payments, reconciling records with billing information, and using eClinicalWorks, EMR, and EHR systems to process claims efficiently. The role also includes verifying patient and insurance information, supporting insurance benefits investigations for infusion therapies and biologic buy-and-bill medications, and maintaining accurate financial records.
Qualifications
- Proven experience in medical billing, coding, or accounts receivable within a healthcare setting
- Strong knowledge of medical coding systems including DRG, CPT, ICD-9, and ICD-10
- Familiarity with medical collection processes and healthcare claims management
- Proficiency in Microsoft Office and billing software, EMR/EHR systems, and healthcare management tools
- Excellent understanding of health insurance policies, medical records management, and medical terminology
- Strong organizational skills and ability to prioritize in a fast-paced environment
- Effective communication skills for interacting with patients, insurance companies, and healthcare providers
Preferred Experience
- Rheumatology, infusion, oncology, gastroenterology, or specialty practice experience
- Experience with biologic medications and buy-and-bill reimbursement
- Knowledge of infusion coding, prior authorizations, and copay assistance programs
- Experience with legacy system cleanup and data reconciliation projects
Additional Requirements
- At least 3 years of experience in medical accounts receivable, billing, or insurance follow-up
- Experience resolving complex insurance claims and denials
Benefits
- Life insurance
- Paid time off
- Retirement plan
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago