Accounts Receivable Specialist

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Manages all communications relating to invoices and incoming bills and may work with Accounts Payable Specialists to balance company financial records.
• Maintain knowledge of company bookkeeping policies, audit business ledgers, organize invoices and begin the collections process for client accounts with past-due balances.
• Process and record any unique billing situations that fall outside of regular operations such as custom payment plans.
• Review unpaid claims and research reasons for delay.
• Initiate collection follow up of unpaid or denied claims with the appropriate payer.
• Research appeal and resolve claim rejections, underpayments, and denials with payers.
• Process appeals by gathering information and resubmitting claims.
• Create reports and balance sheets that document overall profits and losses.
• Communicate payment or denial trending that impact revenue to leadership.
• Develop and maintain positive working relationships with team members and payer representatives.
• Update client accounts based upon payment or contact information.
• Contact insurance companies to address discrepancies and ensure claims are paid.
• Review outstanding accounts and aging reports.
• Process any adjustments ad hoc.

QUALIFICATIONS

• Excellent verbal, written, and interpersonal skills
• Knowledge of explanation of benefits (EOB’s)
• Detail-oriented with strong organizational skills