Accounts Receivable Specialist

Armstrong Ambulance•Arlington, MA

22d•Onsite

About The Position

The Accounts Receivable Specialist manages ambulance billing accounts, follows up on unpaid insurance claims, resolves claim denials, and supports timely reimbursement from insurance companies and patients. The role reviews billing records, communicates with insurance carriers, corrects and appeals claims, and maintains accurate account documentation. The position is full time and non-exempt. It is primarily performed in an office setting, with extensive telephone and computer use. The employee is expected to protect patient confidentiality and comply with HIPAA requirements and applicable billing regulations.

Requirements

An associate’s degree or higher is preferred.
At least 2 years of medical billing, ambulance billing, insurance follow-up, or accounts receivable experience is preferred.
Knowledge of Medicare, Medicaid, and commercial insurance billing processes.
Understanding of claim denials, appeals, payment posting, and insurance reimbursement.
Familiarity with medical billing software, electronic claim systems, and Microsoft Office.
Strong communication, organization, problem-solving, and documentation skills.
Ability to manage multiple accounts, meet productivity goals, and work independently in an office environment.
Strong customer service orientation.
Ability to communicate financial information clearly and respectfully.
Excellent negotiation and problem-solving skills.
Ability to work independently while managing multiple priorities.
Strong attention to detail.
Ability to maintain confidentiality and professionalism.
Ability to occasionally lift, carry, push, and/or pull up to 20 pounds.
Frequent use of computers and telephones; ability to sit for prolonged periods.

Nice To Haves

Associate’s degree or higher.
At least 2 years of medical billing, ambulance billing, insurance follow-up, or accounts receivable experience.

Responsibilities

Review and submit ambulance transportation claims to Medicare, Medicaid, commercial insurers, and other payers.
Follow up on outstanding insurance claims and unpaid accounts to support timely payment.
Investigate denied, rejected, and underpaid claims and determine reasons for non-payment.
Contact insurers to verify claim status, payment details, coverage, and denial reasons.
Prepare and submit corrected claims, reconsiderations, and appeals as necessary.
Review EOBs and ERAs to identify payment discrepancies.
Research eligibility, benefits, coordination of benefits, authorization requirements, and patient coverage issues.
Resolve billing discrepancies involving ambulance transport services, mileage, medical necessity, and required documentation.
Coordinate with billing, coding, and operations teams to obtain missing information and correct claim errors.
Maintain accurate follow-up notes, account records, and claim-status updates in billing software.
Monitor accounts receivable aging reports and prioritize overdue claims.
Identify recurring denial trends and recommend ways to reduce future billing errors.
Escalate complex claims and unresolved payment issues to management when appropriate.
Protect patient confidentiality and comply with HIPAA requirements and applicable billing regulations.
Perform duties safely and in a courteous, confidential, and professional manner.
Maintain a professional appearance and attire.
Mentor, train, and encourage fellow staff as needed.
Complete reports legibly, accurately, and on time.
Maintain confidentiality of customer and company information.
Access and share patient information only as necessary to perform job responsibilities and only with people who need it for treatment, payment, or company operations.
Report concerns about patient privacy policies or observed violations to designated management personnel.