Healthcare Accounts Receivable Specialist

Kearney County Health Services•Minden, NE

12d

About The Position

The Accounts Receivable (AR) Specialist is responsible for the accurate and timely posting and reconciliation of all insurance and patient payments, including daily deposits from remittances and patient transactions. This role supports cash flow and account accuracy by managing outstanding balances, following up on unpaid or underpaid claims, and assisting patients with account resolution. The AR Specialist also supports reporting and works collaboratively with revenue cycle teams to ensure efficient, accurate payment processing and account management.

Requirements

High school diploma or equivalent required; associate’s degree+ in business, healthcare admin, or related field preferred
Minimum of 1-2 years of experience in accounts receivable, medical billing, or revenue cycle operations preferred
Experience with payment posting, insurance remittances, and patient account management preferred
Previous experience in a healthcare setting preferred
Strong understanding of healthcare revenue cycle processes, including insurance payments, adjustments, and AR follow-up
High attention to detail with the ability to accurately post and reconcile payments
Ability to analyze accounts, identify discrepancies, and resolve issues efficiently
Strong organizational and time management skills with the ability to prioritize and manage multiple tasks
Effective communication and customer service skills, particularly when working with patients and payers
Proficiency with computer systems, including EMRs, clearinghouses, and Microsoft Office
Ability to work independently while collaborating effectively within a team environment

Nice To Haves

Certification in medical billing/coding or revenue cycle preferred but not required

Responsibilities

Payment Posting & Reconciliation Post daily insurance remittances (ERAs/EOBs) and patient payments (cash, check electronic) accurately and timely
Balance and reconcile daily deposits to bank reports, clearinghouse files, and system totals
Identify and resolve payment discrepancies, including denials, underpayments, and unapplied cash
Ensure proper contractual adjustments are applied in accordance with payer agreements
Maintain organized documentation of all payment activity for audit tracking purposes
Monitor and work AR Aging reports to ensure timely follow-up on outstanding balances
Investigate and resolve unpaid or underpaid claims with insurance carriers
Support billers with submitting corrections, rebills, or appeals as needed to secure appropriate reimbursement
Escalate complex or high-dollar accounts for further review and resolution
Support collection efforts by working with outside collection agency for patient balances and bad debt
Respond to patient inquiries regarding balances, payments, and billing questions
Assist patients with payment processing, including setting up payment plans when appropriate
Educate patients on insurance coverage, billing processes, and financial responsibility
Resolve patient account issues promptly and professionally to ensure a positive experience
Work with others in business office to address registration or billing discrepancies impacting accounts
Run and review daily, weekly, and monthly AR and payment reports
Maintain assigned work queues to ensure timely processing and follow-up of accounts
Track and report trends related to denials, payment delays, and aging balances
Prioritize workload to meet departmental goals and cash targets
Support leadership with data gathering and reporting as needed
Collaborate with billing, coding, and registration teams to resolve account issues
Identify trends or root causes impacting reimbursement and recommend solutions
Assist in implementing process improvements to enhance efficiency and accuracy
Ensure compliance with organizational policies, payer requirements, and regulatory guidelines
Participate in team meetings and ongoing training to support revenue cycle performance