Accounts Receivable Specialist

CU Medicine•Aurora, CO

10d•$24 - $26•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. CU Medicine is seeking a highly motivated Accounts Receivable Specialist to join its Accounts Receivable Resolution (ARR) team. The position coordinates third-party accounts receivable activities to ensure timely resolution and recovery of outstanding balances for assigned departments or projects. The specialist works independently on insurance follow-up, denial management, payer dispute resolution, and account investigation; identifies denial trends, payer issues, and workflow improvement opportunities; and remains accountable for the AR performance of assigned work queues while collaborating with the team and leadership. The position can be performed 100% remotely, and out-of-state candidates will be considered. CU Medicine conducts background investigations for prospective employees. The organization provides generous leave, health plans, and retirement contributions. The listed pay range is based on competitive market data, with the final offer determined by factors including internal equity, experience, and education.

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 accurately and efficiently.
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.