Accounts Receivable Specialist- Collections
hace 13 días
Dallas
Job DescriptionDescription: The Accounts Receivable Specialist is responsible for managing and collecting outstanding payments from insurance companies and patients. This role ensures accurate claim follow-up, resolves denials and submits appeals, and maintains compliance with billing and collection policies. The ideal candidate has strong communication skills, attention to detail, and a solid understanding of medical billing, insurance processes, and reimbursement practices. • Review and monitor outstanding accounts receivable (A/R) for insurance and patient balances., • Follow up on unpaid, denied, or underpaid claims with insurance carriers to ensure timely reimbursement., • Contact patients to arrange payment plans and resolve billing inquiries professionally and empathetically., • Research and resolve claim denials and discrepancies by working with payers, billing staff, and providers., • Generate and analyze aging and collection reports to identify and prioritize delinquent accounts., • Maintain detailed documentation of all collection activities in patient account records., • Ensure compliance with HIPAA and all federal, state, and payer regulations., • Collaborate with billing and coding teams to prevent future claim rejections or delays., • Participate in monthly reconciliation, audits, and process improvement initiatives. Requirements: • High school diploma or GED required; associate’s degree in healthcare administration or related field preferred., • 1–3 years of experience in medical billing, insurance collections, or accounts receivable within a healthcare setting., • Knowledge of medical billing procedures, insurance claim processes, EOBs, CPT/ICD-10 codes, and payer guidelines., • Experience with EHR and billing software, • Proficiency with Microsoft Office (Excel, Word, Outlook)., • Strong communication, negotiation, and problem-solving skills., • Excellent attention to detail, organization, and time management., • Familiarity with HIPAA regulations and patient confidentiality standards.