Revenue Cycle A/R Representative

We are seeking a detail-oriented Revenue Cycle & Accounts Receivable Specialist to join our team in a hybrid capacity. In this role, you will manage the lifecycle of patient and insurance receivables from billing through final resolution.

You will be responsible for reconciling payments, preparing electronic and paper claims, managing appeals, and processing refunds to support accurate reimbursement, financial health, and patient satisfaction.

Key responsibilities

• Own assigned accounts and follow up with payers and patients to secure accurate, timely payments.
• Prepare, review, and submit claims and financial statements electronically or by paper to insurance carriers and patients.
• Analyze claim denials, file appeals, resubmit corrected claims, and track denial trends.
• Review insurance benefits, EOBs, ERAs, and payer policies to verify correct reimbursement and identify underpayments.
• Conduct detailed account audits to identify bad debt placement opportunities, investigate overpayments, and route refund documentation for approval.
• Log account activity accurately in the EMR system to maintain audit readiness.
• Collaborate with billing, patient access, and payment posting teams to resolve systemic issues and report emerging payer trends.