Billing and Accounts Receivable Specialist

Gaylord Specialty Healthcare is a health system dedicated exclusively to medical rehabilitation. The organization provides inpatient and outpatient care for people at every point in their recovery journey, with a mission to enhance health, maximize function, and transform lives.

This role plays a key part in the hospital’s revenue cycle by managing billing processes, payment collections, insurance reimbursement, and denial resolution. The specialist works with internal teams to ensure claims are submitted correctly, denials are resolved efficiently, and revenue is collected in a timely manner. The position also supports process improvement, cross-department communication, and patient billing clarity to promote financial health and a positive patient experience.

Key responsibilities include:

• Ensuring claims are accurately submitted to insurance payers in compliance with payer requirements
• Monitoring outstanding claims and resolving payment issues
• Analyzing denials and underpayments and initiating appeals or corrected claims when needed
• Tracking A/R aging, denial trends, and reimbursement effectiveness
• Supporting patients with billing, insurance, and claim status questions
• Evaluating workflows and denial trends to identify operational improvements
• Assisting with testing and updates to software and payer portals
• Performing root cause analysis to improve clean claim rates and reduce first-pass denials
• Coordinating with revenue cycle teams, payers, and patients to resolve claim issues
• Contributing to departmental goals, KPIs, and continuous improvement efforts