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Remote Medical Accounts Receivable Specialist

United States, Saint Paul Employment contract · Job Posted May 26, 2026
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Job Description

We are looking for a remote detail-oriented Medical Accounts Receivable Specialist to support revenue cycle operations for a healthcare organization. This position focuses on resolving claim denials, recovering outstanding balances, and improving reimbursement outcomes across a variety of payers. The ideal candidate will bring strong medical billing knowledge, sound judgment in payer follow-up, and the ability to work accurately with account documentation, reporting, and appeals, and averages about 100 patient accounts per day.

Job Responsibility

  • Investigate denied, rejected, and partially reimbursed claims to determine the cause of nonpayment and drive timely resolution
  • Take corrective action on accounts by submitting claim adjustments, preparing reconsiderations, gathering needed documentation, and filing appeals in line with payer requirements
  • Manage assigned receivables by reviewing aging reports, prioritizing high-risk accounts, and working toward monthly collection and resolution goals
  • Communicate with insurance carriers to verify claim status, clarify adjudication outcomes, and escalate unresolved issues when additional review is required
  • Examine differences between submitted charges and payer payments to identify billing inconsistencies, underpayments, and reimbursement discrepancies
  • Partner with billing, coding, and clinical teams to correct claim edits, address authorization concerns, and resolve denial issues related to coding or documentation
  • Maintain complete account notes and follow-up records so all activity is accurately documented for audit readiness and operational visibility
  • Use electronic medical record and revenue cycle systems, including NX (MyAvatar) and Aura – Sigmund, to review account activity, claim history, and supporting encounter information
  • Prepare and share reporting on denial categories, payer behavior, and accounts receivable performance to help identify trends and support process improvement efforts

Requirements

  • Experience with NX (MyAvatar) or Aura – Sigmund is required
  • Experience working in medical accounts receivable, medical billing, or denial resolution within a healthcare environment
  • Demonstrated ability to research and resolve insurance denials, underpayments, and rejected claims across commercial payers
  • Knowledge of accounts receivable workflows, collections activity, cash applications, and billing functions related to healthcare claims
  • Familiarity with payer guidelines, appeals processes, and compliance standards governing claim submission and reimbursement
  • Ability to interpret explanation of benefits information, analyze account discrepancies, and determine appropriate next steps for resolution
  • Strong written and verbal communication skills with the ability to document follow-up clearly and prepare accurate appeal correspondence

What we offer

  • Medical, vision, dental, and life and disability insurance
  • Enrollment in company 401(k) plan
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