Accounts Receivable Specialist

GoHealth Urgent Care

Accounts Receivable Specialist managing healthcare claims, denials, appeals, and payments for GoHealth Urgent Care. Supporting patients, providers, and insurers while ensuring accurate billing and HIPAA compliance.

Posted 8/17/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare billing and accounts receivable management, with a strong focus on accurate coding, compliance with insurance guidelines, and effective communication with patients and providers. Proficient in managing claim denials and ensuring maximum reimbursement while adhering to HIPAA regulations.

Highest-signal resume keywords

Healthcare Billing ExperienceCPT and ICD Coding KnowledgeInsurance Guidelines UnderstandingCustomer Service SkillsMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare BillingAccounts Receivable ManagementCPT CodingICD CodingClaim Denial ResolutionInsurance Eligibility VerificationMathematical AccuracyClaim SubmissionPatient Account ManagementContract Compliance

Soft Skills

Verbal CommunicationWritten CommunicationOrganizational SkillsTime ManagementCollaboration

Tools & Technologies

Microsoft ExcelMicrosoft WordEMR SystemsClearinghouses

Certifications & Qualifications

Certified Medical Billing SpecialistCPAR

Industry Keywords

HIPAA ComplianceMedicareMedicaidWorkers’ CompensationExplanation of Benefits (EOB)

About the role

Key responsibilities & impact

Follow up on unpaid claims using monthly aging reports
File appeals with appropriate documentation to obtain maximum reimbursement
Maintain accurate patient account and billing data
Manage accounts receivable through full lifecycle resolution
Submit claims via clearinghouses or directly to payers
Monitor, research, and resolve claim denials
Contact insurance carriers to address payment issues
Process claim retractions, write-offs, and contractual adjustments
Ensure complete and accurate billing information and coding
Verify and post insurance and patient payments for accuracy and contract compliance
Coordinate secondary billing for patients with multiple insurers
Respond to inquiries from patients, providers, and insurance companies
Assist with inbound calls as needed
Verify insurance eligibility and benefits coverage
Collaborate with Team Leaders, Section Leaders, and cross-functional teams
Escalate issues and support workflow efficiency
Deliver customer service to internal and external stakeholders
Adhere to HIPAA regulations and safeguard patient information

Requirements

What you’ll need

High school diploma or GED
3+ years of healthcare billing accounts receivable experience in a mid-to-large organization
Working knowledge of CPT and ICD coding
Knowledge of basic medical terminology
Understanding of insurance guidelines, including Medicare, state Medicaid, and workers’ compensation across multiple states
Ability to interpret Explanation of Benefits (EOBs)
Ability to accurately calculate deductibles and coinsurance
Ability to maintain strict patient confidentiality
Excellent verbal and written communication skills
Strong phone etiquette and customer service skills
Ability to communicate effectively with patients regarding medical conditions and financial responsibilities
Ability to represent the department professionally
Ability to handle service issues tactfully and ensure appropriate follow-through
Proficiency in Microsoft Office applications, including Excel and Word
Strong organizational and time management skills
Proficiency in computer systems and typing
Strong attention to detail and mathematical accuracy
Ability to work collaboratively across departments
Flexibility and openness to new ideas and approaches
Ability to remain focused and productive under pressure
Willingness to assist others and share relevant information
Preferred: 3+ years of Healthcare AR experience with large complex physician practice groups
Preferred: EMR experience across at least one platform, such as Epic or Clinical Works
Preferred: CPAR or Certified Medical Billing Specialist certification
Preferred: Associate’s degree in Healthcare Management, Health Information Management, or related field

Benefits

Comp & perks

Fully remote work arrangement
Equal employment opportunity
Reasonable accommodations for qualified individuals with disabilities upon request