Medical Accounts Receivable Specialist

Healthpro Heritage, LLC•Hunt Valley, MD

3d•$21 - $25•Remote

About The Position

HealthPro Heritage has a great Remote - Medical Accounts Receivable Specialist Position available. The Accounts Receivable Specialist plays a critical role in supporting the financial health of the organization by managing and following up on outstanding balances. This position is responsible for maintaining and updating the daily collections spreadsheet, ensuring timely follow-up on outstanding accounts throughout the day, and serving as a key resource within the Revenue Cycle department. The ideal candidate will bring strong attention to detail, persistence, and excellent communication skills to help drive effective collections and support overall revenue operations. Why Choose HealthPro Heritage? Purpose-Driven Work: Be part of a mission-driven organization dedicated to compassionate care and innovative therapy solutions. Growth Opportunities: Enjoy continuous learning and development opportunities tailored to support your professional growth. Collaborative Culture: Thrive in a supportive environment where teamwork, respect, and open communication are at the heart of everything we do. Commitment to Excellence: Join a team recognized for clinical expertise and commitment to delivering high-quality care and outcomes. Competitive Benefits Package: Enjoy competitive compensation along with a comprehensive benefits package designed with YOU in mind! Join Us in Making a Difference At HealthPro Heritage, we offer a fulfilling career where you can positively impact lives and achieve personal and professional growth. As a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, and pediatric schools and clinics. Join us to be part of a team that values your skills, listens to your input, and makes a meaningful difference in the community.

Requirements

2+ years of medical billing, accounts receivable, or revenue cycle experience preferred
Experience with ProFee insurance claims, denials, appeals, and collections
Proficiency with Net Health, Waystar, or similar billing/EMR systems
Knowledge of EOBs, ERAs, authorizations, referrals, medical records, and payer guidelines
Understanding of Medicare, Medicaid, commercial insurance, and the revenue cycle
Familiarity with medical terminology, CPT, ICD-10, and HCPCS
Strong analytical, organizational, and problem-solving skills with attention to detail
Excellent communication skills and ability to collaborate across teams
Ability to manage a high-volume workload and meet deadlines
Knowledge of HIPAA, CMS, and healthcare compliance
Proficiency in Microsoft Excel and other business software

Responsibilities

Resolution of patient account balances associated with insurance denial
Answer incoming insurance and practice calls as needed
Explain charges, services and insurance billing questions
Ensuring accuracy as well as verifying completed and precise medical record(s) for the interpretation of clinical documentation completed by the medical staff to correctly assign appropriate ICD10, CPT and/or HCPCS codes in conjunction with the coding/clinical teams
Submit, manage, and follow up on insurance claims using Net Health and Waystar
Investigate, appeal, and resolve denied or unpaid insurance claims
Review EOBs, ERAs, authorizations, referrals, medical records, and remittance advice to ensure accurate reimbursement
Monitor aging reports and perform timely follow-up to maximize collections
Document all claim activity accurately within the billing system
Research and correct registration, demographic, and insurance issues to ensure clean claim submission
Communicate with insurance companies, providers, and internal teams to resolve billing issues
Collaborate with Coding, Appeals & Denials, Credentialing, Cash Posting, and Patient Accounts teams
Assist patients with billing questions and payment resolution as needed
Ensure compliance with HIPAA, CMS, OIG, payer guidelines, and professional coding standards
Analyze denial trends and report findings to leadership to improve reimbursement
Maintain productivity while managing multiple priorities in a fast-paced environment