Accounts Receivable Specialist

NextCare • Tempe, AZ

12d • Hybrid

About The Position

We are seeking a highly skilled and detail-oriented Accounts Receivable Specialist to join our medical billing team. This role is critical to maintaining the organization’s financial health, with a focus on timely and accurate resolution of outstanding medical claims. The ideal candidate will have a deep understanding of the medical billing lifecycle, advanced knowledge of payer guidelines, and a proven ability to reduce accounts receivable aging through proactive follow-up and denial management.

Requirements

• Experience: Minimum of 5 years of experience in medical billing or accounts receivable with a strong emphasis on insurance claim resolution and denial management.
• Knowledge: In-depth understanding of medical billing and coding principles (CPT, ICD-10, HCPCS) and payer reimbursement methodologies.
• Technical Skills: Proficiency with medical billing software; experience with NextGen Billing strongly preferred. Waystar Clearinghouse expertise required.
• Analytical Skills: Strong ability to interpret EOBs, remittance advice, and payer correspondence to resolve complex claim issues.
• Attention to Detail: Exceptional accuracy in data entry, financial reconciliation, and documentation.
• Communication Skills: Effective written and verbal communication skills to interact with payers, internal teams, and external stakeholders in a professional manner.

Responsibilities

• Claims Management: Monitor and follow up on unpaid and denied medical claims across a variety of payers (commercial, Medicare, Medicaid, etc.) to ensure timely reimbursement.
• Denial Resolution: Research, analyze, and resolve claim denials and underpayments by identifying root causes, correcting errors, submitting appeals, or providing additional documentation as needed.
• Account Reconciliation: Reconcile accounts receivable by posting adjustments and resolving discrepancies to maintain accurate financial records.
• Trend Analysis & Reporting: Generate and analyze A/R reports to identify patterns in denials, reimbursement delays, or system inefficiencies, and recommend process improvements.
• Collaboration: Partner with billing, coding, and compliance teams to ensure claims are processed accurately and efficiently.
• Compliance: Maintain strict adherence to HIPAA regulations, payer-specific guidelines, and company policies to ensure data integrity and patient confidentiality.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees