Accounts Receivable & Collections Specialist - Hybrid

Integrated Medical Services (IMS)•Phoenix, AZ

14h•Hybrid

About The Position

The Accounts Receivable & Collections Specialist is responsible for managing insurance and patient accounts receivable to ensure timely reimbursement and collection of outstanding balances. This position performs claim follow-up, denial resolution, patient collections, account research, and customer service activities to support timely reimbursement and account resolution. The specialist works collaboratively with patients, payers, providers, and internal departments to resolve account issues, reduce aging accounts, and support the organization’s revenue cycle goals. This is a hybrid position requiring regular onsite attendance at the Corporate Business Office (CBO) to assist with incoming correspondence, payer communications, returned mail, and other revenue cycle support functions. Employees are expected to work onsite a minimum of two days per week and remotely on approved days in accordance with organizational policy.

Requirements

High School diploma or GED required
Minimum 2 years of healthcare accounts receivable, collections, medical billing, or revenue cycle experience
Experience with insurance claim follow-up and patient collections required
Ability to work a hybrid work schedule, including onsite attendance at the Corporate Business Office (CBO) a minimum of two days per week
Knowledge of healthcare reimbursement methodologies and insurance processing
Knowledge of patient collections practices and customer service principles
Strong customer service and conflict resolution skills
Excellent verbal and written communication skills
Ability to interpret EOBs, payer correspondence, and insurance claim information
Attention to detail and commitment to accuracy
Ability to maintain confidentiality and comply with HIPAA regulations

Nice To Haves

Experience working patient correspondence, billing inquiries, Communicator cases, shared work queues, or Corporate Business Office functions preferred
Experience with physician practice billing preferred
Experience with Athena One or similar practice management systems preferred
Experience working with Medicare, Medicaid, and commercial insurance plans preferred

Responsibilities

Work assigned accounts receivable daily.
Review and resolve unpaid, underpaid, denied, and aging claims.
Conduct follow-up with commercial payers, Medicare, Medicaid, and other third-party payers.
Submit corrected claims, reconsiderations, and supporting documentation as needed.
Research claim status and account issues.
Coordinate with coding, front office, and billing staff to resolve claim and account errors.
Process account adjustments, transfers, refunds, and corrections as authorized.
Monitor assigned AR inventory and aging reports to ensure timely account resolution.
Review, process, and distribute incoming payer and patient correspondence.
Assist with management of returned mail, bankruptcy notices, refund requests, medical records requests, and other revenue cycle correspondence received by the Corporate Business Office.
Review and respond to assigned billing-related Communicator cases and departmental work queues.
Document all account activity in the practice management system.
Assist with account audits and special projects as assigned.
Maintain productivity and quality standards established by the department.
Escalate complex payer issues as appropriate.
Contact patients regarding outstanding balances via phone, mail, and electronic communication.
Answer incoming patient calls and voicemails related to billing and account inquiries.
Assist patients with billing questions, payment concerns, and account resolution.
Explain insurance processing, patient responsibility, and account balances.
Establish payment arrangements in accordance with organizational policies.
Review accounts for financial assistance eligibility, discounts, bad debt, or collection agency placement when appropriate.
Document all patient collection efforts and account communications.
Maintain professionalism and excellent customer service during collection activities.
Perform other duties as assigned.