Accounts Receivable Specialist- Collections

Job Description

Job Description

Description :

The Accounts Receivable Specialist is responsible for managing and collecting outstanding payments from insurance companies and patients. This role ensures accurate claim follow-up, resolves denials and submits appeals, and maintains compliance with billing and collection policies. The ideal candidate has strong communication skills, attention to detail, and a solid understanding of medical billing, insurance processes, and reimbursement practices.

• Review and monitor outstanding accounts receivable (A / R) for insurance and patient balances.
• Follow up on unpaid, denied, or underpaid claims with insurance carriers to ensure timely reimbursement.
• Contact patients to arrange payment plans and resolve billing inquiries professionally and empathetically.
• Research and resolve claim denials and discrepancies by working with payers, billing staff, and providers.
• Generate and analyze aging and collection reports to identify and prioritize delinquent accounts.
• Maintain detailed documentation of all collection activities in patient account records.
• Ensure compliance with HIPAA and all federal, state, and payer regulations.
• Collaborate with billing and coding teams to prevent future claim rejections or delays.
• Participate in monthly reconciliation, audits, and process improvement initiatives.

Requirements :