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High-Volume Accounts Receivable Specialist

Oshi Health

Manage insurance accounts receivable, including claim follow-up, denial resolution, payment investigation, and cash reconciliation. This role supports accurate payment posting, reimbursement optimization, reporting, and revenue cycle improvement for a virtual GI care organization.

Key responsibilities

  • Manage assigned insurance accounts receivable to reduce aging balances and improve reimbursement.
  • Follow up with payers on outstanding claims, underpayments, denials, and payment discrepancies.
  • Resolve claim denials through corrected claims, appeals, reconsiderations, and supporting documentation.
  • Post insurance payments, adjustments, and remittances accurately in the billing system.
  • Reconcile posted payments against ERA, EOB, bank deposits, and payment reports.
  • Research and resolve unapplied cash, variances, overpayments, and underpayments.
  • Maintain documentation of AR activity, payer communications, and outcomes.
  • Communicate with patients, providers, payers, and internal teams to resolve billing and reimbursement issues.
  • Analyze AR, denial, and payment trends to identify root causes and process improvements.
  • Support month-end close, balancing, reporting, and audit requests.
  • Ensure compliance with payer requirements, financial regulations, HIPAA, and billing standards.
Requirements & Qualifications

Required

  • Bachelor's degree in Business Administration or relevant coursework.
  • 2+ years of healthcare revenue cycle experience focused on accounts receivable, payment posting, or insurance billing.
  • Knowledge of medical billing, insurance claims processing, and payer reimbursement.
  • Experience resolving claim denials, underpayments, and payment discrepancies.
  • Experience posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash.
  • Experience working independently in a remote environment.
  • Proficiency with EMR and medical billing systems.
  • Strong analytical, problem-solving, and organizational skills.
  • Excellent communication and customer service skills.
  • Proficiency with Google Workspace and ability to learn new systems quickly.

Preferred

  • Experience in a startup or high-growth healthcare organization.
  • Experience in telehealth or virtual care.
  • Experience with payer contract reimbursement analysis and payment variance investigations.
  • Familiarity with payer portals, clearinghouses, EFT/ERA processing, and payment reconciliation.
  • Experience tracking revenue cycle metrics such as AR aging, denials, and net collection rate.
  • Experience with Athenahealth, Apero, Salesforce, or similar healthcare platforms.
  • CRCR, CPB, CPC, or similar healthcare revenue cycle certification.
Benefits & Perks
  • Employer-sponsored medical, dental, and vision coverage
  • Unlimited PTO
  • 11 paid company holidays
  • Eligibility to contribute to a 401(k)
  • Remote-first work model
  • Tailored professional development opportunities
  • Access to Life Concierge support through Overalls

Location

Indianapolis, Indiana, US

Employment Type

Full-time

Experience Level

Associate

Salary Range

$47,000 - $52,000

Remote work allowed

Yes

Posted

2 weeks ago

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