Medical Accounts Receivable Specialist
Responsibilities:
• Manage the full accounts receivable cycle by reviewing unpaid claims, pursuing follow-up with insurance carriers, and taking appropriate action to secure payment.
• Prepare and submit clean claims accurately and on time while monitoring billing activity to reduce delays, rejections, and unresolved balances.
• Post payments, adjustments, and remittance details with precision, ensuring cash activity is recorded correctly and account records remain current.
• Investigate denied, underpaid, and unprocessed claims, identify root causes, and complete appeals or corrective actions to improve reimbursement outcomes.
• Communicate with Medicare, Medicaid, managed care organizations, and commercial payers to verify claim status, clarify discrepancies, and resolve outstanding issues.
• Support collection efforts by following up on aged receivables, documenting account actions, and escalating complex items when additional review is needed.
• Review payer guidelines, regulatory requirements, and internal policies to maintain compliant billing and follow-up practices.
• Collaborate with internal teams to address coding, eligibility, authorization, or credentialing-related concerns that may affect claim payment.
• Contribute to reporting and account analysis by tracking trends in denials, payment variances, and receivable aging to support process improvement.
Qualifications:
• At least 3 years of experience in healthcare billing, accounts receivable follow-up, or revenue cycle operations.• Working knowledge of Medicare, Medicaid, Medicare Advantage, and commercial insurance billing and reimbursement practices.
• Demonstrated ability to resolve denied, unpaid, and underpaid claims through research, payer communication, and appeals.
• Experience with payment posting, cash applications, collections, and account reconciliation in a medical billing environment.
• Familiarity with CMS guidelines, Medicaid eligibility review, and payer-specific rules affecting claim processing.
• Strong attention to detail, sound organizational skills, and the ability to manage a high volume of account activity efficiently.
• Behavioral health or outpatient billing experience is preferred.
• Experience with Netsmart or credentialing processes is a plus.
Compensation
$21.38-$24.75 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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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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