<p>Our company is seeking a talented Medical Accounts Receivable Specialist to join our team in a fully remote capacity. The ideal candidate is detail-oriented, proactive, and experienced in healthcare accounts receivable processes, with strong problem-solving and communication skills.</p><p><br></p><p><strong><em>Please note: Candidates must reside in the United States but may not live in California, New York, Washington, or Colorado.</em></strong></p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 4:30pm EST</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Examine denied and unpaid medical claims to determine and document reasons for discrepancies.</li><li>Communicate directly with payers to follow up on outstanding claims, submit technical and clinical appeals, resolve payment variances, and secure timely and accurate reimbursement.</li><li>Identify root causes for underpayments, denials, and payment delays and collaborate with management to address trends in accounts receivable.</li><li>Maintain current knowledge of federal/state regulations and payer-specific requirements; act in compliance with all applicable rules.</li><li>Document all account activities accurately in the client’s host or tracking system, including contact details and essential claim information.</li><li>Proactively recommend process improvements and communicate claim and payment trends to management.</li><li>Employ critical thinking and strong problem-solving skills to resolve outstanding account balances while meeting productivity and quality standards.</li></ul><p><br></p>

<ul><li>1+ years of customer service experience.</li><li>High School Diploma or GED required.</li><li>CRCR Certification must be secured within 6 months of hire (company paid).</li><li>Basic computer literacy and proficiency in Microsoft Excel.</li><li>Excellent verbal communication and strong organizational skills.</li><li>Demonstrated problem-solving and analytical abilities.</li><li>Adaptability to changing procedures and willingness to work in a fast-paced environment.</li><li>Ability to meet attendance, quality, and productivity standards.</li></ul><p><strong>Preferred Qualifications:</strong></p><ul><li>Associate or bachelor’s degree.</li><li>1+ years of experience in medical collections, healthcare accounts receivable follow-up, denials & appeals, compliance, provider relations, or medical billing.</li><li>Experience with claims review/analysis and working knowledge of the revenue cycle.</li><li>Experience with DDE Medicare systems and payer websites for claims investigation.</li><li>Knowledge of medical and insurance claim terminology.</li></ul><p><br></p>

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