Accounts Receivable Specialist 2 in United States at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Accounts Receivable Specialist 2 based in United States.

This role sits within healthcare revenue cycle operations and plays a key part in ensuring accurate and timely reimbursement of medical insurance claims. The position focuses on resolving outstanding government and commercial insurance receivables through detailed research, payer communication, and claims correction. You will work across multiple systems to verify eligibility, update patient and insurance information, and investigate denials or underpayments. The environment is fast-paced, detail-oriented, and highly collaborative, requiring strong analytical skills and persistence in follow-up activities. You will interact regularly with insurance payers and internal teams to ensure claims are properly resolved and compliance standards are met. This is a strong opportunity for someone who enjoys investigative, process-driven work in healthcare finance.

• Manage end-to-end accounts receivable follow-up for healthcare insurance claims, ensuring timely resolution of unpaid, denied, or underpaid accounts across government and commercial payers.
• Verify patient eligibility, authorization, and insurance details using payer portals, client systems, and direct communication with insurers or providers.
• Research and analyze Explanation of Benefits (EOBs), claims data, and billing records to identify discrepancies and determine appropriate resolution actions.
• Contact insurance payers via phone or written correspondence to secure payments, appeal denials, and clarify claim issues.
• Prepare appeal letters, correction requests, and documentation required for claim reconsideration or clinical audit processes.
• Maintain accurate documentation within systems, ensuring compliance with filing deadlines, prioritization rules, and regulatory requirements.

• High school diploma or GED required; additional education in healthcare administration or related fields is a plus.
• At least 2 years of experience in healthcare insurance accounts receivable follow-up within a hospital, health system, or payer environment.
• Strong knowledge of medical billing processes, denial management, coordination of benefits, and reimbursement procedures.
• Experience reviewing EOBs, UB-04 forms, and handling claim corrections, resubmissions, and appeals.
• Proficiency with accounts receivable systems and ability to navigate payer websites for claims, eligibility, and authorization verification.
• Strong communication, documentation, and analytical skills with the ability to work effectively in cross-functional teams and meet productivity targets.

• Competitive hourly compensation aligned with experience and market standards.
• Health, dental, and vision insurance coverage.
• Paid time off and holiday benefits.
• Opportunities for professional growth within healthcare revenue cycle operations.
• Training and support on healthcare systems and billing tools.
• Structured, performance-driven work environment with clear productivity goals.