Medical Insurance Accounts Receivable Collections Specialist

Olympic Sports & Spine•Tacoma, WA

68d•$23 - $38•Onsite

About The Position

Olympic Sports & Spine (OSS) is seeking an experienced Medical Accounts Receivable (AR) Specialist to join its revenue cycle team in Tacoma. The role performs insurance follow-up and collections activities to help ensure claims are processed accurately and reimbursed in a timely manner. It works with insurance carriers, patients, and internal departments to resolve account issues, manage appeals, research denials, and maintain accurate account documentation. The position is based 100% on-site at OSS’s centralized Tacoma billing office and follows a Monday-Friday schedule from 8:00 a.m. to 5:00 p.m., with no weekends. The organization describes its workplace as collaborative and values teamwork, professional growth, and work-life balance. Offers of employment are contingent on successful completion of a background screening, which may include verification of employment history and education, a credit check where applicable, criminal record check, and reference checks. The posting states that OSS is an equal opportunity employer and is committed to an inclusive environment.

Requirements

Extensive experience in medical insurance billing and insurance follow-up.
Strong understanding of medical claims processing, denials management, and reimbursement practices.
Experience researching unpaid or underpaid claims and identifying appropriate resolution strategies.
Strong analytical and problem-solving skills.
Excellent interpersonal, written, and verbal communication skills.
Professional and persuasive customer service abilities.
Ability to work independently while managing multiple priorities and deadlines.
Commitment to patient confidentiality and HIPAA compliance.
Ability to represent OSS professionally at all times.

Nice To Haves

Healthcare accounts receivable and collections experience.
Experience with payment posting and credit balance resolution.
Knowledge of commercial insurance, Medicare, Medicaid, and managed care payer processes.

Responsibilities

Review patient financial information to verify compliance with payer requirements and correct financial coding.
Audit claim forms for accuracy and completeness, and submit claims through payer portals or direct-entry systems.
Enter allowances and adjustments according to payer guidelines and department procedures.
Access payer systems to obtain eligibility, claim status, and processing details.
Respond to inquiries from patients, payers, agencies, and internal departments.
Analyze unpaid claims to determine appropriate follow-up and help ensure timely reimbursement.
Review contract reimbursements for accuracy.
Contact patients and payers by phone to resolve outstanding account balances.
Correct account errors and document all actions.
Prepare written correspondence regarding account concerns.
Evaluate delinquent accounts and determine next steps in accordance with department guidelines.
Assess patient financial information and recommend payment plans when appropriate.
Prepare accounts for collection-agency placement when internal efforts are exhausted.
Process accounts involving returned mail, bankruptcies, or deceased patients according to procedures.
Post and balance daily remittances; apply allowances and adjustments.
Resolve credit balances through adjustments or refunds to patients or payers.
Participate in required educational activities and monthly staff meetings.
Perform other related duties as assigned.