Specialist, Accounts Receivable 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 a Specialist, Accounts Receivable based in the United States.

This role is focused on managing insurance payer follow-up and accelerating cash collections within a healthcare revenue cycle environment. You will play a key part in ensuring outstanding claims are resolved efficiently, barriers to payment are identified and addressed, and revenue is properly recovered. The position requires strong analytical thinking, persistence, and attention to detail to navigate complex payer processes. Working remotely, you will collaborate with internal teams while independently managing assigned account inventories. Your work directly supports financial stability for healthcare providers by improving reimbursement outcomes. This is a fast-paced, results-driven role where accuracy, communication, and follow-through are essential to success.

Manage and resolve outstanding insurance claims through proactive follow-up, analysis, and escalation to ensure timely and accurate reimbursement.

• Follow up on assigned accounts to resolve outstanding claims and secure payment from insurance payers.
• Analyze claim issues, identify root causes of denials or delays, and apply appropriate resolution strategies.
• Escalate unresolved claims to payer supervisors or management when standard follow-up efforts are unsuccessful.
• Document all account activity accurately using structured frameworks and internal workflow systems.
• Assign correct status and root cause codes to support reporting, trend analysis, and process improvement.
• Prepare and submit first- and second-level appeals to overturn claim denials and recover payments.
• Research incoming correspondence related to accounts and take appropriate action to resolve issues.
• Maintain productivity, quality standards, and compliance with client-specific requirements.
• May assist with underpayment recovery activities as assigned by management.

Candidates should bring strong healthcare revenue cycle experience, attention to detail, and the ability to manage complex insurance collections independently.

• High school diploma or equivalent required; additional healthcare billing or insurance training is a plus.
• 3–5 years of experience in hospital billing, collections, or revenue cycle follow-up roles.
• Strong understanding of the healthcare revenue cycle and payer reimbursement processes.
• Knowledge of medical terminology and coding systems such as ICD-10, CPT, and DRG.
• Ability to work independently in a remote, fast-paced, and goal-oriented environment.
• Strong analytical and critical thinking skills with high attention to detail and accuracy.
• Proficiency with Microsoft Excel at an intermediate level preferred.
• Excellent communication skills with the ability to handle patient account inquiries while maintaining confidentiality.
• Strong organizational skills and ability to manage multiple accounts and deadlines effectively.
• Experience in problem-solving, denial management, and claims resolution strategies.

• Fully remote work setup within the United States.
• Opportunity to work in a mission-driven healthcare environment supporting community hospitals.
• Exposure to end-to-end healthcare revenue cycle processes.
• Collaborative, team-oriented work culture with professional development opportunities.
• Competitive compensation aligned with experience and industry standards.
• Stability within a well-established healthcare services organization.
• Tools and systems provided to support remote work efficiency and communication.