Accounts Receivable Specialist - Work at Home - Ohio - PRN

We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

About the role

This position is responsible for implementation and coordination of fiscal transactions in a timely and accurate manner, including claims processing, cash collection, claims resolution, resolving credit balances, end-of-month balancing, and monthly statements. The role ensures billing compliance as required by the company and adheres to all policies, procedures, and regulations related to billing Medicare, Medicaid, and other third-party payors.

All duties and responsibilities are expected to be performed in a manner consistent with the Ministry’s Standards of Behavior (CARE: Compassion, Advocate, Respect, Excellence) and Mercy Health’s core values: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life, and Service.

Responsibilities

• Examines denied and underpaid claims to determine reasons for discrepancies. Communicates directly with payers to follow up on outstanding claims, file appeals, resolve payment variances, and ensure timely reimbursement.
• Identifies specific reasons for underpayments, denials, and causes of payment delays. Works with management to identify, trend, and address root causes of issues in the A/R.
• Maintains a thorough understanding of federal and state regulations, as well as payer-specific requirements, and takes appropriate action accordingly.
• Documents activity accurately, including contact names, addresses, phone numbers, and other pertinent information.
• Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management.
• Posts remittance advice to patient accounts, resolves errors after posting payments, posts guarantor payments, reconciles all posted cash, and requests refunds.
• Submits claims electronically or by paper according to payor specifications and filing limits.
• Performs pre-billing audits to assure billing compliance as required by the company.
• Answers incoming phone calls to the business line, accepting payments, answering billing questions, assisting patients with financial assistance, and providing service recovery as needed.
• Processes patient statements monthly per policy.
• Reviews all credit balances and processes them as required by Medicare, Medicaid, and all third-party payors.

Requirements

• High School Diploma required.
• One year of experience in medical collections or professional billing required.
• Basic computer knowledge, ability to use standard office equipment, and proficiency in basic MS Office software.
• Problem-solving skills related to account resolution.
• Ability to adapt to changing procedures and a growing environment.

Qualifications (Preferred)

• 1-3 years of relevant experience in medical collections or professional billing.
• Knowledge of claims review and analysis.

Pay

Range: $18.11 – $27.17 per hour.

Benefits

• Competitive pay, incentives, and referral bonuses.
• 403(b) with employer contributions (when eligible).
• Medical, dental, vision, and prescription coverage, with HSA/FSA options.
• Life insurance, mental health resources, and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

Benefits may vary based on the market and employment status.