Revenue Cycle A/R Representative (Hybrid)

ASHLEY, INC.•Havre de Grace, MD

10d•$24 - $26•Hybrid

About The Position

Ashley, Inc. is seeking a detail-oriented Revenue Cycle & Accounts Receivable Specialist to join the team in a hybrid capacity. The role manages patient and insurance receivables from billing through final resolution, including payment reconciliation, preparation and submission of electronic and paper claims, appeals, and refunds. The position supports the organization’s financial health and patient satisfaction. The role also contributes to the organization’s mission, vision, and values; maintains patient privacy and compliance with HIPAA guidelines and IT security regulations; supports diversity, equity, and inclusion; and performs other operational duties as needed to support the team.

Requirements

High school diploma or GED.
At least 2 years of experience in insurance/patient billing and healthcare claims processing and follow-up.
Strong knowledge of third-party payer guidelines, procedures, and denial processes.
Ability to calculate figures accurately and reconcile accounts with attention to detail.
Proficiency in basic Microsoft Office applications, including Outlook, Word, and Excel.
Ability to make timely decisions using sound judgment and clearly explain the rationale for actions taken.

Responsibilities

Own assigned accounts and follow up with payers and patients to secure accurate, timely payments.
Prepare, review, and submit electronic or paper claims and financial statements to insurance carriers and patients.
Analyze claim denials, identify root causes, file appeals, resubmit corrected claims, and track trends to reduce future revenue leakage.
Review and interpret insurance benefits, EOBs, ERAs, and payer policies to verify reimbursement and identify underpayments.
Audit accounts to identify balances requiring bad debt placement, investigate potential insurance overpayments, and route refund documentation for approval.
Document account activity accurately in the Electronic Medical Record (EMR) system to maintain audit readiness.
Collaborate with billing, patient access, and payment posting teams to resolve systemic issues and notify management of emerging payer trends.
Model and reinforce the organization’s core mission, vision, and values.
Maintain patient privacy and comply with HIPAA guidelines and IT security regulations.
Support the organization’s commitment to diversity, equity, and inclusion.
Perform other operational duties as needed to support team success.