Accounts Receivable Specialist- Collections in Dallas, Texas at Rheumatology Alliance LLC

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.
  

• High school diploma or GED required; associate’s degree in healthcare administration or related field preferred.
  
• 1–3 years of experience in medical billing, insurance collections, or accounts receivable within a healthcare setting.
  
• Knowledge of medical billing procedures, insurance claim processes, EOBs, CPT/ICD-10 codes, and payer guidelines.
  
• Experience with EHR and billing software
  
• Proficiency with Microsoft Office (Excel, Word, Outlook).
  
• Strong communication, negotiation, and problem-solving skills.
  
• Excellent attention to detail, organization, and time management.
  
• Familiarity with HIPAA regulations and patient confidentiality standards.