Accounts Receivable Specialist
About The Position
Our mission to transform wound care and improve lives is challenging — but absolutely worth it. One in ten skilled nursing facility residents will develop a skin condition requiring expert medical care, and one in four patients goes home with an open wound. Every one of those people deserves the very best care available. Our providers bring hands-on expertise, education, and compassionate care to patients and their care teams so that their wounds can heal faster. At United Wound Healing, we’re not just treating wounds, we’re raising the standard of care, one patient at a time.
Requirements
- 3+ years of medical billing and accounts receivable experience required
- Advanced expertise in the revenue cycle management process and insurance claims processing cycle
- Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format
- Proficient in MS Office — Outlook, Excel (intermediate), and Word; skilled with computers and multiple web browsers
- Critical thinker with strong problem-solving skills; high attention to detail; excellent organization and time management; ability to prioritize and manage time-sensitive situations with urgency
- Strong verbal and written communication and customer service skills; effective communication with partner facilities, co-workers, patients, and insurance companies
- Consistently dependable, honest, trustworthy, and professional; able to work independently; adaptable to changing procedures and a growing environment
Nice To Haves
- CPB preferred but not required
- CPC (or CPC-A) preferred but not required
Responsibilities
- Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up
- Verify eligibility, identify payor changes, and accurately update coordination of benefits (COB); navigate payor portals to identify correct payors
- Make outbound calls and collaborate with insurance payors and partner facility business offices for claim resolution; answer incoming calls professionally
- Identify and communicate denial trends and coding issues to support clean claim processing
- Perform account reconciliation — identify overpayments, complete refund requests, and process insurance takebacks via ERAs
- Resolve assigned worklist items with detailed account documentation; maintain daily AR log reporting to Supervisor and meet department productivity standards
Benefits
- Medical, Dental, Orthodontic, Vision, and Rx — 80% of employee monthly premiums covered; dependent coverage available at employee’s expense
- Employer-sponsored Life, AD&D, and Disability Insurance
- Voluntary supplemental plans: Accident, Cancer, Critical Illness, STD, Identity Protection, and more
- Accrue up to 132 hours (16.5 days) of PTO in your first year, based on FTE status
- 8 paid holidays for full-time employees
- 401(k) with employer match on first 4%
- Up to $2,000 annually for professional development (prorated based on FTE)
- Monday–Friday schedule | Typical hours 7:30 AM – 4:00 PM PST (occasional overtime based on work volume)
- Core Values that promote work-life harmony
- A collaborative, team-driven culture that promotes recognition and celebrates everyday wins
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
