Accounts Receivable Specialist

Accounts Receivable Specialist Full-time · Reports to RCM Manager · Remote Role Overview As our Accounts Receivable Specialist, you'll own the follow-through on claims after they're submitted — chasing down payment, resolving denials, and closing the gap between care delivered and cash collected. You'll work closely with our RCM and claims platform (Candid), our scheduling/EMR system, and our billing leadership to keep receivables moving instead of aging. This is a hands-on, high-impact role at a company where collection speed and accuracy directly determine how fast we can grow. What You'll Own Manage an assigned book of insurance accounts receivable, working claims from submission through final resolution to keep aging balances down. Follow up with payers on outstanding claims, underpayments, and payment discrepancies, and drive them to close. Investigate and resolve claim denials and rejections — corrected claims, appeals, and reconsiderations with the documentation payers require. Review claim edits and rejections before and after submission to reduce repeat denials, partnering with our RCM team on root causes. Post and reconcile insurance payments, adjustments, and remittances accurately and on schedule. Research and resolve unapplied cash, overpayments, and underpayments against contracted reimbursement rates. Track and report on AR aging, denial trends, and payment posting accuracy, feeding directly into our weekly RCM flash report. Respond professionally to patient questions about claims, balances, and billing, and escalate payer or system issues to the right owner. Flag recurring reimbursement or process issues and recommend fixes that reduce denials and speed up collection. What Success Looks Like Cash collection rate climbs measurably toward our company target Denials in your book get resolved rather than aged out — fewer claims sit past timely filing deadlines. Payment posting is accurate and current, so RCM reporting reflects reality rather than a backlog. Patterns you catch (a payer, a code, a workflow gap) turn into process fixes, not just one-off saves. What You'll Bring Required 3+ years of healthcare revenue cycle experience with a focus on accounts receivable, payment posting, or insurance billing. Working knowledge of medical billing, insurance claims processing, and payer reimbursement. Experience resolving claim denials, underpayments, and payment discrepancies. Experience posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash. Comfort working remotely and managing your own priorities and queue. Strong attention to detail and organizational skills — this role is the difference between revenue earned and revenue collected. Preferred Experience in a startup or high-growth healthcare or telehealth organization. Familiarity with Candid, Availity, or similar claims and payer-connectivity platforms. Women's health, maternal health, or lactation coding experience. CRCR, CPB, CPC, or other healthcare revenue cy...