Accounts Receivable Specialist

CU Medicine•AURORA, CO

7d•Remote

About The Position

University of Colorado Medicine (CU Medicine) is the region's largest and most comprehensive multispecialty physician group practice. It provides business operations, revenue cycle, and administrative services supporting patients of CU Anschutz School of Medicine providers. The Accounts Receivable Specialist joins the Accounts Receivable Resolution team and coordinates third-party accounts receivable activities to resolve and recover outstanding balances for assigned departments or projects. The position works independently on insurance follow-up, denial management, payer disputes, and account investigations; identifies denial trends and workflow opportunities; and maintains accountability for assigned work queues. This position can be performed 100% remotely, and out-of-state candidates will be considered. The role requires meeting productivity and quality standards while managing a high-volume workload and providing timely, accurate account resolution. The specialist works with insurance carriers, providers, internal departments, patients, and other stakeholders to resolve claim and reimbursement issues, and documents account activity according to departmental standards. CU Medicine is an Equal Opportunity Employer and complies with applicable nondiscrimination laws. It conducts background investigations for prospective employees and supports a Tobacco Free Workplace Environment. The listed pay range is described as a good-faith estimate, but no specific compensation amount is included in the posting. CU Medicine states that it provides generous leave, health plans, and retirement contributions.

Requirements

Previous experience in medical billing, accounts receivable, insurance follow-up, or denial management.
Working knowledge of healthcare reimbursement methodologies, payer guidelines, and insurance billing practices.
Ability to interpret Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and payer correspondence.
Familiarity with CPT, HCPCS, and ICD-10 coding concepts sufficient to support denial research and claim resolution.
Knowledge of claim appeals, reconsiderations, and dispute processes.
Intermediate proficiency in Microsoft Office applications and payer portal navigation.
Strong analytical, organizational, and problem-solving skills.
Excellent verbal and written communication skills.
Demonstrated attention to detail and ability to manage a high-volume workload with accuracy and efficiency.
Ability to work independently and effectively prioritize competing deadlines.

Responsibilities

Meet established productivity and quality standards.
Review, investigate, and resolve outstanding accounts through assigned work queues, reports, and other available resources.
Follow up on unpaid, denied, underpaid, or incorrectly processed insurance claims to secure appropriate reimbursement.
Review Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and payer correspondence to determine appropriate action.
Prepare and submit reconsiderations, disputes, and appeals, including collecting and reviewing supporting documentation when claim determinations are not appropriate.
Obtain claim, payment, and denial status information through payer portals, telephone contact, email, fax, and written correspondence.
Collaborate with insurance carriers, providers, and internal departments to resolve claim and reimbursement issues.
Identify denial trends, reimbursement barriers, and payer processing issues and communicate findings to leadership as appropriate.
Maintain thorough and accurate documentation of account activity in accordance with departmental standards.
Prioritize and manage a high-volume workload while ensuring timely and accurate account resolution.
Provide professional and responsive customer service when interacting with insurance carriers, patients, providers, and internal stakeholders.