Medical Accounts Receivable Specialist

Heritage•Hunt Valley, MD

1d•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.

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.