Medical Accounts Receivable Specialist

Family Allergy & Asthma • Louisville, KY

24d • Onsite

About The Position

The Medical Accounts Receivable Specialist applies knowledge of the role within the scope of practice and works under the direction of managers and/or directors. The specialist interacts respectfully with staff at all levels, assists as needed during assigned work hours, participates in department activities, promotes patient independence and socialization, follows attendance policies, and advocates for patients’ quality of life while complying with applicable laws, regulatory requirements, and organizational standards. The role also supports the company’s core values.

The position involves working accounts receivable claims across multiple payer types and states. The specialist investigates denied or unanswered claims, consults payer policies to support reconsiderations and appeals, identifies trends, and documents claim research and actions in IMS. Corrected claims, reconsiderations, and appeals are submitted through portals, fax, or secure email, with mail used as a last resort. The specialist also coordinates with other departments using shared spreadsheets and regular follow-ups.

The role is located at 139 S English Station Rd, Louisville, KY 40245. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., with no travel. The work environment generally has moderate noise and standard lighting, and may involve exposure to infectious waste, concentrated allergens, diseases, and conditions. Physical demands include handling objects, tools, or controls; reaching; communicating; standing, walking, and other movement; and occasionally lifting or moving up to 30 pounds. Reasonable accommodations may be made for individuals with disabilities.

Requirements

• High school diploma or equivalent.
• At least 2 years of Accounts Receivable experience, preferably in a healthcare setting.
• At least 2 years of experience with an Electronic Medical Records (EMR) platform.
• Experience working with multiple carrier types, including Medicare, Medicaid, Dual, Commercial, Managed Care, and Advantage plans, across multiple states.
• Fluent English speaking and reading ability.
• Ability to read and interpret documents such as safety rules, handbooks, policies, patient care plans, and procedure manuals.
• Ability to communicate effectively, verbally and in writing, with staff at all levels and with patients.

Responsibilities

• Understand and work with Medicare, Medicaid, Dual, Commercial, Managed Care, and Advantage plans across multiple states.
• Research denied or unanswered claims to determine the reason and the best recovery method.
• Review payer policies and guidelines to support reconsiderations and appeals.
• Identify trends and promptly notify leads and the manager to establish a plan of action.
• Submit corrected claims, reconsiderations, and appeals through portals, fax, or secure email, using mail as a last resort.
• Thoroughly document research and actions taken on each claim in IMS.
• Communicate with other departments through shared spreadsheets and conduct regular follow-ups.
• Perform other relevant duties as assigned by the department manager.
• Interact respectfully with staff at all levels, assist as needed during assigned duty hours, participate in department activities, follow attendance policies, and support patient quality of life and company values.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED