Medical Accounts Receivable Specialist
Responsibilities:
• Review and follow up on outstanding physician claims to identify delays in payment and drive timely resolution.
• Use Availity, insurance carrier websites, and billing platforms such as eClinicalWorks or Insync to investigate claim status and determine next steps.
• Analyze denials, underpayments, and unpaid accounts, then take corrective action through appeals, rebilling, or payer outreach.
• Post, reconcile, and track cash activity to ensure payments are applied accurately within the accounts receivable process.
• Communicate with insurance companies to clarify coverage, verify processing outcomes, and resolve reimbursement discrepancies.
• Maintain organized documentation of account activity, claim research, and collection efforts within the EMR or billing system.
• Collaborate with a small team to manage a large workload while meeting productivity and quality expectations.
• Support billing operations by identifying trends in claim issues and escalating recurring problems that affect reimbursement.
• Assist with medical collections efforts for commercial payers and help reduce aging accounts receivable balances.
Qualifications:
• At least 3 years of experience in healthcare accounts receivable, medical billing, or physician practice revenue cycle operations.• Hands-on experience working with payer portals, including Availity, to research and resolve medical claims.
• Proficiency with eClinicalWorks, Insync, or similar EMR and medical billing systems.
• Strong knowledge of claim follow-up, denial resolution, insurance billing, medical appeals, and collections procedures.
• Experience with cash posting, cash applications, reconciliations, and related accounts receivable activity.
• Ability to work independently, investigate issues proactively, and solve reimbursement problems efficiently.
• Solid understanding of commercial insurance processing, health coverage verification, and physician billing workflows.
Compensation
$18.21-$21.09 HourlyAbout Us
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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