Accounts Receivable Specialist - Work at Home - Ohio - PRN

This role 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 position ensures compliance with 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 organization’s Standards of Behavior (CARE: Compassion, Advocate, Respect, Excellence) and core values: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life, and Service.

Responsibilities

• Examines denied and underpaid claims to determine discrepancies; communicates directly with payers to follow up on outstanding claims, file appeals, resolve payment variances, and ensure timely reimbursement.
• Identifies reasons for underpayments, denials, and payment delays; works with management to address root causes of A/R issues.
• Maintains a thorough understanding of federal, state, and payer-specific regulations and takes appropriate action accordingly.
• Documents activity accurately, including contact names, addresses, phone numbers, and other pertinent information.
• 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 ensure billing compliance as required by the company.
• Answers incoming calls to the business line, accepts payments, answers billing questions, assists patients with financial assistance, and provides service recovery.
• Processes patient statements monthly per policy.
• Reviews all credit balances and processes them as required by Medicare, Medicaid, and third-party payors.

Requirements

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

Qualifications

• 1-3 years of relevant experience in medical collections or professional billing preferred.
• 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; HSA/FSA options; life insurance; mental health resources and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

Benefits may vary based on the market and employment status.