Accounts Receivable Specialist

Carolinas Center for Oral & Facial Surgery•Charlotte, NC

15d

About The Position

The Accounts Receivable Specialist serves as a liaison among insurance companies, patients, and the practices. The role supports Flagship Practices by processing and resolving insurance claims for services provided to patients. The specialist monitors claims, documents resolution activities, and submits information needed to obtain insurance payments, including confirming claims are on file, sending medical records to demonstrate medical necessity, requesting payments, and appealing denials.

Requirements

High school diploma or GED.

Nice To Haves

Bachelor's degree in Accounting or a related field.
2–3 years of medical and/or dental office experience.
Knowledge of medical or dental insurance.

Responsibilities

Resolve claims submitted to insurance companies using insurer portals, websites, and contact or call centers; determine claim status and collect payments for services provided.
Research denied claims and determine the next steps for resolution.
Draft appeal letters and submit additional information needed for insurers to process claims for payment.
Track and communicate payment and denial trends.
Document claim resolution activities in the practice management system, detailing progress toward resolution.
Ensure reviewed or processed claims are in the correct account category in the practice management system.
Report the status of assigned accounts to the Revenue Cycle Supervisor weekly or upon request.
Complete ad hoc claim work lists assigned by Revenue Cycle Leadership.
Communicate effectively with coworkers, insurance companies, practices, providers, and patients.
Maintain and promote professional competence through continuing education and other learning experiences.
Adhere to HIPAA Privacy and Security policies and procedures.
Participate in Revenue Cycle Team meetings and share successes, barriers, and process improvement opportunities.
Perform other duties as assigned.