Accounts Receivable Specialist

Key Responsibilities

• Resolve all assigned denial and correspondence tasks with accuracy and urgency
• Research and correct claim rejections, denials, and underpayments
• Prepare and submit corrected claims, appeals, and supporting documentation
• Achieve accounts receivable optimization by actively working unpaid claims 60+ days from date of service
• Ensure previously worked claims are re-reviewed every 30 days or less
• Identify root causes of recurring denials and escalate trends appropriately
• Submit formal appeals and track outcomes through final resolution
• Communicate directly with Medicare, Medicaid, and commercial payers
• Maintain detailed documentation of payer interactions and appeal status

Required Qualifications

• 1–2 years of revenue cycle or AR collections experience (EMS billing strongly preferred)
• Working knowledge of CPT, ICD-10, and HCPCS coding
• Strong understanding of government and commercial payer rules, especially for ambulance transport
• Proficiency in Microsoft Excel and Word
• High school diploma or equivalent required