Accounts Receivable Specialist

Department: RCM: Collections • Location: Headquarters - Matawan (remote)

About the role

As a Medical Billing & Collections Specialist, you'll play a key role in helping our healthcare providers focus on what matters most—caring for patients—by ensuring claims are processed accurately, denials are resolved efficiently, and reimbursements are maximized. In this role, you'll investigate and resolve denied or underpaid claims, follow up with insurance companies and patients, and help keep revenue cycle operations running smoothly. You'll collaborate with a team that believes every challenge is an opportunity to improve, every process can be optimized, and every team member contributes to better patient outcomes.

Responsibilities

• Denial Management: Investigate and resolve claim denials by appealing, resubmitting, or making necessary corrections.
• Follow-Up: Conduct regular follow-ups with insurance companies and patients to ensure timely payment of outstanding balances.
• Compliance: Stay updated on industry regulations and compliance requirements to ensure adherence in billing practices.
• Claim Resolution and Reimbursement: Demonstrate strong desire and commitment to resolving medical claims and effectively collecting insurance reimbursements.

Requirements

• Proven experience in resolving denied/underpaid claims and conducting thorough follow-ups with insurance providers to maximize reimbursements.
• Extensive experience in various aspects of medical billing and collections, including claim submissions, attorney follow-ups, and other relevant duties.
• Prior experience in Conservative Therapy (Physical Therapy, Occupational Therapy, and Chiropractic), Medical (Physical Medicine and Rehabilitation, with expertise in Pain Management, Orthopedic, and Vascular disciplines), or Patient Accounts (Self Pay) is preferred.
• Demonstrated proficiency in utilizing Excel and Google Sheets for data analysis and reporting purposes.
• Proven track record of handling Out of Network billing processes effectively (required).
• Familiarity with various Payer Portals for streamlined communication and efficient claims processing.
• Extensive experience with all Major Medical Insurance Providers, Work Comp, and Motor Vehicle claims is preferred.
• Excellent organizational skills with thorough attention to detail in handling accounts receivable processes.
• Ability to work independently and collaboratively within a team.
• Exceptional written and verbal communication skills for interacting professionally with internal and external stakeholders.
• Fluency in Spanish is a plus.

Benefits

• 401(k) matching
• Medical, Dental & Vision coverage
• Paid Time Off
• Sick Time
• Paid Holidays

Pay

$20.00 - $30.00 / hour

Schedule

• Full-Time
• Monday-Friday
• Remote

Employment is contingent upon the successful completion of a background check, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law.