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We are seeking a detail-oriented Accounts Receivable Clerk to support hospital-based revenue cycle operations. This role focuses on accurate patient account processing, insurance billing, and accounts receivable follow-up to ensure timely reimbursement and compliance with payer requirements.
Job Responsibility
Support hospital revenue cycle functions including patient billing, insurance claims submission, and payment posting
Review and submit clean claims to Medicare, Medicaid, and commercial payers in accordance with regulatory guidelines
Perform accounts receivable follow-up on outstanding, denied, or underpaid claims to drive reimbursement
Analyze EOBs and remittance advice to identify discrepancies and initiate corrections or appeals
Verify patient insurance eligibility, coverage, and benefits as needed
Post insurance and patient payments, contractual adjustments, and reconcile patient accounts
Respond to patient billing inquiries, explain balances, and assist with payment arrangements when appropriate
Ensure compliance with hospital policies, HIPAA regulations, and payer requirements
Collaborate with clinical and coding teams to resolve charge capture, coding, and documentation issues
Requirements
2+ years of experience in hospital business office, patient accounting, or revenue cycle
Strong knowledge of hospital billing workflows, claims processing, and AR follow-up
Experience working with Medicare, Medicaid, and commercial insurance payers
Understanding of EOBs, denials management, and reimbursement processes
Familiarity with hospital billing systems/EMR platforms and Microsoft Excel
High attention to detail with the ability to prioritize in a fast-paced environment
At least 1 year of experience in accounts receivable, patient accounting, hospital billing, or a related revenue cycle function
Working knowledge of healthcare claims processing, insurance billing, and receivables follow-up procedures
Experience handling Medicare, Medicaid, and commercial payer claims
Ability to interpret explanation of benefits, remittance advice, denials, and reimbursement activity accurately
Familiarity with billing systems and Microsoft Excel for account research, tracking, and reporting
Strong attention to detail with the ability to organize priorities and meet deadlines in a high-volume setting
Effective written and verbal communication skills for working with patients, payers, and internal teams
Nice to have
Knowledge of CPT, ICD-10, and HCPCS coding
Experience with inpatient and/or outpatient hospital billing
Prior experience in an acute care or hospital setting