CrawlJobs Logo

Medical Accounts Receivable Specialist

https://www.roberthalf.com Logo

Robert Half

Location Icon

Location:
United States , Bellevue

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

This contract-to-permanent position involves managing the full insurance revenue lifecycle, ensuring accurate claim submissions, resolving denials, and maintaining compliance with payor contracts and regulations. The role also includes provider credentialing and re-credentialing responsibilities, as well as collaborating across departments to enhance operational efficiency.

Job Responsibility:

  • Oversee insurance accounts receivable processes from initial charge posting to final resolution
  • Investigate and resolve unpaid, underpaid, or denied claims promptly and accurately
  • Ensure claims meet payor guidelines and adhere to clean-claim standards to prevent revenue loss
  • Post payments and adjustments with precision and reconcile explanation of benefits to maintain accuracy
  • Monitor credentialing timelines for providers, ensuring timely enrollment and re-credentialing with contracted payors
  • Identify and address root causes of claim denials, implementing corrective measures to mitigate recurring issues
  • Maintain compliance with state regulations, payor contracts, and internal revenue integrity standards
  • Track and report key revenue cycle metrics, such as denial rates, days in accounts receivable, and net collection ratios
  • Collaborate with operations leadership and care center teams to resolve reimbursement issues and streamline processes
  • Serve as the primary liaison for credentialing matters, audits, and compliance reviews related to provider enrollment

Requirements:

  • Minimum of 3 years of experience in healthcare, dental, or medical insurance accounts receivable and revenue cycle management
  • Proficiency in handling accounts receivable, cash applications, and billing functions
  • Solid understanding of health care revenue cycle processes, including collections and cash activity
  • Strong analytical skills to identify issues and implement solutions for claim denials and payment discrepancies
  • Familiarity with payor-specific regulations and contractual requirements
  • Ability to manage provider credentialing and enrollment processes efficiently
  • Excellent communication and collaboration skills to work effectively across teams and departments
  • Strong attention to detail and organizational skills to maintain compliance and ensure accuracy in all tasks
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
January 15, 2026

Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Medical Accounts Receivable Specialist

Collections and Accounts Receivable Specialist

The Collections / Accounts Receivable Specialist will manage collection efforts,...
Location
Location
United States , Teterboro
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 years+ of accounts receivable collections
  • Bachelor’s degree in Business related studies such as Accounting, Finance, or Management
  • Excellent analytical, organizational, and problem-solving skills
  • Excellent attention to detail, proficiency in accounting software, experience with Medical collections practices, and the ability to manage a high volume of accounts while prioritizing tasks and meeting deadlines
  • often requiring a solid understanding of credit and collection laws as well
Job Responsibility
Job Responsibility
  • Support other finance team members, e.g., posting payments, bookkeeping, preparing bank checks, and ad-hoc projects
  • Monitor and collect accounts receivable by communicating with clients via email, telephone, and mail
  • Manage collection efforts, identify slow-paying customers, and escalate
  • Handle customer account reconciliations, assist in streamlining the accounts receivable process by identifying areas for improvement, and assist in other accounting-related tasks
  • Send invoices and statements to customers
  • Assist with accurate reporting of weekly AR, including updated status notes on past due accounts
  • Assist in creating monthly reports on accounts receivable status and other financial metrics
  • Assist with bank monitoring
  • Manage collection efforts, including reporting on outstanding balances
  • Process credit card payment
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right

Medical Accounts Receivable Specialist

This role is within the healthcare industry, where you will be crucial in assist...
Location
Location
United States , Jeffersontown, Kentucky
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proficient in Accounting Software Systems
  • Experience with ADP - Financial Services
  • Familiarity with CRM
  • Proficiency in Epic Software
  • Knowledge of ERP - Enterprise Resource Planning
  • Ability to handle Accounting Functions
  • Experience with Accounts Receivable (AR)
  • Proficient in Billing Functions
  • Capable of managing Cash Activity
  • Experience in Cash Handling
Job Responsibility
Job Responsibility
  • Oversee the processing of appeals by collecting necessary information and resubmitting claims
  • Manage the initiation of collection follow-ups for unpaid or rejected claims with the relevant Payer
  • Maintain a robust and positive relationship with team members and Payer representatives
  • Handle communication of payment or denial trending issues that impact revenue, to leadership
  • Take responsibility for reviewing unpaid claims and investigating reasons for payment delays
  • Handle the resolution of claim partial payments and denials with Payers
  • Engage insurance companies and attorneys to resolve any discrepancies and ascertain the status of bills to secure proper reimbursement
  • Review outstanding accounts receivables for assigned Payers and maintain the aging report
  • Ensure any necessary adjustments in accounts are processed accurately and promptly
  • Keep accurate customer credit records and process customer credit applications efficiently
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right

Medical Accounts Receivable and Billing Specialist

This role will support a growing department. Our client offers great work-life b...
Location
Location
United States , Odenton
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Small, private clinic AR experience highly preferred
  • Solid understanding of medical billing
  • Knowledge of Accounts Receivable (AR) in a healthcare/clinical environment
  • Demonstrated analytical skills in basic accounts receivable and accounting policy
  • Current and relevant ERP system experience
  • AA or BS/BA degree in Accounting or in a related field
Job Responsibility
Job Responsibility
  • Responsible for billing and coding
  • Collecting on past due balances
  • Insurance company follow-up
  • Maintain up to date information from insurance companies and customers
  • Reduce AR aging
  • Special project as assigned
  • Provide and obtain necessary documentation as needed
What we offer
What we offer
  • Great work-life balance
  • Free online training
  • Medical, vision, dental, and life and disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right

Medical Billing Specialist

We are seeking a dedicated and detail-oriented Medical Billing Specialist to joi...
Location
Location
United States , Hagerstown
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Associate’s degree in Health Information Technology, Business Administration, or a related field is preferred
  • 1+ years of experience in medical billing and accounts receivable, preferably within a healthcare setting
  • Strong knowledge of medical terminology, coding systems (CPT, ICD-10, HCPCS), and insurance regulations
  • Experience with medical billing software and electronic health records (EHR) systems
  • Excellent communication skills, both verbal and written
  • Detail-oriented with strong organizational and analytical skills
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment
  • Knowledge of HIPAA regulations and confidentiality requirements
Job Responsibility
Job Responsibility
  • Billing & Coding: Accurately review and submit medical claims to insurance companies, government programs (e.g., Medicare, Medicaid), and patients based on services provided
  • Accounts Receivable Management: Monitor and follow up on unpaid claims and accounts, ensuring timely resolution and payment collection
  • Claim Denial Management: Investigate and resolve denied or rejected claims, working with insurance providers to rectify issues and ensure proper reimbursement
  • Payment Posting: Post payments, adjustments, and denials to patient accounts accurately
  • Patient Communication: Communicate with patients and insurance companies to resolve billing inquiries, provide payment information, and answer any questions related to their accounts
  • Account Reconciliation: Ensure all accounts are reconciled and balanced, identifying discrepancies and making necessary adjustments
  • Compliance: Maintain up-to-date knowledge of relevant billing codes, insurance policies, and regulations to ensure compliance with industry standards and government regulations
  • Reporting: Generate and review accounts receivable reports, aging reports, and other billing data to ensure financial goals are met and identify areas for improvement
  • Collaboration: Work closely with the clinical and administrative teams to resolve any billing issues, discrepancies, or concerns
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • Company 401(k) plan
  • Access to top jobs
  • Competitive compensation
  • Fulltime
Read More
Arrow Right

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to join a team i...
Location
Location
United States , King of Prussia
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 1 year of experience in medical billing, claims, or collections
  • Proficiency in accounting software systems and electronic health record (EHR) systems
  • Familiarity with Medicaid processes and commercial insurance claims
  • Strong understanding of accounts receivable, denial management, and appeals
  • Experience working with billing and authorization functions
  • Ability to accurately input and manage billing data
  • Excellent communication skills to collaborate with team members and external payors
  • Knowledge of compliance policies related to medical billing and collections
Job Responsibility
Job Responsibility
  • Process and submit primary and secondary claims for both commercial insurance and Medicaid
  • Investigate and resolve claim denials, performing appeals as necessary to ensure proper reimbursement
  • Manage accounts receivable by following up on claims through resolution, including correcting billing errors and addressing rejections
  • Input and review billing data for accuracy, ensuring compliance with company policies and procedures
  • Collaborate with the Billing Manager and clinic teams to ensure accurate and timely billing
  • Track and verify Medicaid status for clients while maintaining relationships with payors to facilitate successful claims processing
  • Assist intake teams with Medicaid documentation for new clients and those requiring reassessment
  • Utilize various insurance portals and systems, including Waystar, to handle denial responses and claims follow-ups
  • Ensure adherence to compliance standards in all billing and collections activities
  • Perform other tasks as assigned by the Billing Manager or Director
What we offer
What we offer
  • Medical insurance
  • Vision insurance
  • Dental insurance
  • Life insurance
  • Disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right

Accounts Receivable Team Lead

The Accounts Receivable Team Lead is responsible for overseeing high volume, mul...
Location
Location
United States , Mesa
Salary
Salary:
Not provided
riseservicesinc.org Logo
RISE Services
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent (a degree in accounting or related field preferred
  • equivalent work experience may be considered)
  • At least 3 years experience in billing and collections, preferably in a high-volume, multi-contract environment
  • Ability to logically and efficiently analyze issues and address multiple priorities in a professional manner
  • Experience developing policies and procedures for accounts receivable operations
  • High standard of integrity
  • Demonstrate excellent organizational skills, attention to detail, time management, task oriented, good interpersonal skills, patience and perseverance
  • Excellent knowledge of Microsoft Excel and Word as well as E-mail experience
Job Responsibility
Job Responsibility
  • Organize and supervise the processing of multi-state receivables and collections related to medical and Medicare billings
  • Assist the AR team in developing proactive processes for effective and efficient resolution
  • Promote a high level of customer service/satisfaction (both internally and externally)
  • Assist in identifying key performance indicators for AR and ensure accurate tracking of these indicators
  • Facilitate communication and training in the AR department
  • Ensure the team’s accurate processing of data by providing billing guidelines with documentation and training
  • Train, mentor, and provide guidance to accounts receivable team members, ensuring alignment with company policies and best practices
  • Openly communicate expectations, monitor and evaluate individual and team performance, provide feedback and/or disciplinary action
  • Provide team members performance evaluations
  • Attend and participate in financial operation staff meetings and/or other company meetings as requested
What we offer
What we offer
  • medical, dental and vision coverage
  • generous paid time off
  • incentive bonuses to those who qualify
  • Fulltime
Read More
Arrow Right

Cash Application Specialist

The Cash Application Specialist is responsible for performing cash postings for ...
Location
Location
United States , Hempstead County
Salary
Salary:
Not provided
paffordems.com Logo
Pafford EMS
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proficient with a PC
  • Prior Medical accounts receivable experience
  • Ability to read and interpret EOBs
  • Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
  • Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
  • Knowledge of medical terminology
  • Knowledge of Medical Billing
  • Ability to work independently and with a group
  • Proficient with MS Word and MS Excel
  • Ability to maintain effective working relationships
Job Responsibility
Job Responsibility
  • Compiling and sorting documents such as invoices and copies of checks
  • Preparing cash batches by identifying the batch and setting it up in TriTech (billing software)
  • Using computer data processing system to post funds received to appropriate accounts
  • Reconciling posted checks received with checks deposited
  • Processing write-offs in accordance with Federal/State regulations and/or company policy
  • Post debits and credits to practice management system in accordance with insurance explanation of benefits (EOB)
  • Download and post EFT transactions to practice management system
  • Maintaining appropriate reconciliation and tracking logs in Excel
  • Working Special Projects as assigned
  • Performing other duties as assigned
Read More
Arrow Right

A/R Specialist

The AR Specialist is responsible for ensuring accurate and timely full cycle acc...
Location
Location
United States , Mesa
Salary
Salary:
Not provided
riseservicesinc.org Logo
RISE Services
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Intermediate level of Excel (VLook ups, Pivot Tables, Basic Formulas)
  • Demonstrates excellent organizational skills, time management, and task orientation
  • Knowledge of basic computer skills (Gmail, Microsoft Suite)
  • Work well independently with limited supervision
  • Work as a self starter with effective communication skills
  • Ability to prioritize and handle multiple deadlines successfully
  • Ability to work in a fast paced environment
  • Experience working with multiple applications simultaneously
  • Ability to logically and efficiently analyze issues
  • Ability to communicate both orally and in writing in a professional manner
Job Responsibility
Job Responsibility
  • Accurate and timely preparation of electronic and/or hardcopy medical claims for a variety of funding sources
  • Maintain, create, and update Excel spreadsheets for funding sources
  • Import billings and post payments into accounting software within rigid timelines
  • Determine and initiate action to resolve denied invoices and all ancillary collection processes
  • Stay up to date and implement all contract changes and updates
  • Develop and maintain good relationships with internal and external customers
  • Provide feedback and suggestions for improved systems and efficiencies
  • Maintain customer confidentiality
  • Adhere to all accounting policies, procedures, and guidelines
  • Perform other job-related duties as directed by the supervisor
What we offer
What we offer
  • medical, dental, and vision coverage
  • generous paid time off
  • incentive bonuses to those who qualify
  • Fulltime
Read More
Arrow Right