Accounts Receivable Specialist 2 (PB) in United States at Jobgether

This position is posted by Jobgether on behalf of a partner company. We are currently looking for an Accounts Receivable Specialist 2 (PB) in United States.

In this role, you will support healthcare revenue cycle operations by managing insurance accounts receivable and ensuring timely reimbursement from government and commercial payers. You will work at the intersection of billing, claims follow-up, and payer communication to resolve denials, underpayments, and outstanding balances. The position requires strong attention to detail and the ability to navigate complex insurance processes across multiple systems and stakeholders. You will play a key role in maintaining financial performance and supporting accurate patient account resolution. Working within a collaborative healthcare environment, you will engage with cross-functional teams and external payers to drive effective claims outcomes. This role is well-suited for someone who thrives in structured, metrics-driven environments and enjoys problem-solving in healthcare finance operations.

• Manage insurance accounts receivable follow-up activities by researching unpaid, denied, or underpaid claims and initiating resolution steps with payers.
• Verify patient eligibility, benefits, and authorizations using payer portals, internal systems, and direct communication with insurance carriers.
• Update and maintain accurate patient demographics, insurance information, and claim documentation across billing systems.
• Review Explanation of Benefits (EOBs), remittance advice, and claims data to identify payment discrepancies and support appeals or resubmissions.
• Communicate with payers via phone and written correspondence to resolve claim issues and secure timely payment.
• Prepare appeal letters, documentation packages, and clinical audit submissions for denied services when required.
• Follow payer guidelines, timely filing requirements, and internal compliance standards for documentation and claim tracking.
• Support productivity targets and ensure consistent processing of claims within established performance benchmarks.

• High school diploma or GED required.
• Minimum of 3 years of experience in healthcare insurance accounts receivable follow-up within a hospital, health system, or payer environment.
• Strong knowledge of billing workflows, denial management, claims resubmission, and reimbursement processes.
• Experience reviewing EOBs, UB-04/1500 forms, and payer correspondence for claim resolution activities.
• Familiarity with Medicare, Medicaid, and commercial insurance billing guidelines and coordination of benefits.
• Proficiency with accounts receivable systems and healthcare billing software, including experience with Epic preferred.
• Strong skills in Microsoft Office, especially Excel, and ability to manage data accurately.
• Excellent communication skills with the ability to interact professionally with insurance payers and internal teams.
• Ability to work independently while meeting productivity expectations (approximately 55 claims per day / 275 per week).
• Strong organizational skills, attention to detail, and ability to manage multiple priorities in a deadline-driven environment.

• Competitive hourly compensation ranging from $19.00 to $21.00, based on experience, skills, and location.
• Access to healthcare coverage options designed to support medical, dental, and vision needs.
• Opportunities to work within a structured healthcare revenue cycle environment with clear performance goals.
• Exposure to payer operations, claims processing, and advanced revenue cycle practices.
• Supportive work environment emphasizing compliance, accuracy, and professional development.
• Equal employment opportunities and commitment to inclusive workplace practices.