Accounts Receivable Specialist

GoHealth Urgent Care

Accounts Receivable Specialist managing healthcare claims, denials, payments, and appeals for GoHealth Urgent Care. Supporting accurate reimbursement and patient billing compliance remotely.

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, ensuring compliance with insurance guidelines and accuracy in claim submissions. Proficient in utilizing EMR systems and maintaining patient confidentiality while delivering exceptional customer service.

Highest-signal resume keywords

Healthcare Billing ExperienceAccounts Receivable ManagementCPT and ICD Coding KnowledgeEMR Proficiency (Epic, Clinical Works)Certified Patient Account Representative (CPAR)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim SubmissionClaim Denial ResolutionInsurance Payment VerificationBilling Data ManagementMathematical Accuracy

Soft Skills

Excellent Communication SkillsStrong Organizational SkillsCustomer Service SkillsAbility to Work Under PressureCollaboration Skills

Tools & Technologies

Microsoft Office (Excel, Word)Billing SystemsEMR Systems

Certifications & Qualifications

Certified Medical Billing SpecialistCertified Patient Account Representative (CPAR)

Industry Keywords

HIPAA ComplianceMedical TerminologyInsurance GuidelinesExplanation of Benefits (EOB)Healthcare Management

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, guarantor, insurance, 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 according to payer guidelines
Ensure claim accuracy and compliance by entering billing, diagnosis, procedure, modifier, and provider information
Verify insurance payments for accuracy and contract compliance
Post insurance and patient payments within billing systems
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
Provide updates, escalate issues, and support workflow efficiency
Deliver excellent 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 required
3+ years of healthcare billing accounts receivable experience in a mid-to-large organization required
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 – Certified Patient Account Representative
Preferred Certified Medical Billing Specialist certification
Preferred Associate’s degree in Healthcare Management, Health Information Management, or related field
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 and understand 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 when interacting with patients, guests, physicians, and staff
Ability to handle service issues tactfully and professionally and ensure appropriate follow-through
Proficiency in Microsoft Office applications, including Excel and Word
Strong organizational and time management skills with the ability to prioritize effectively
Proficiency in computer systems and typing
Strong attention to detail, including mathematical accuracy
Ability to work collaboratively across departments
Flexibility and openness to new ideas and approaches
Ability to remain focused and productive under pressure
Must adhere to HIPAA regulations and safeguard patient information
Ability to lift, carry, push, or pull materials, supplies, and equipment up to 10 lbs.
Travel may be required
May require safety equipment for infection prevention

Benefits

Comp & perks

Fully remote work arrangement
Equal employment opportunity
Reasonable accommodations for qualified individuals with disabilities
Travel may be required, including travel between Company locations and out-of-town destinations as needed
Safety equipment may be provided/required for infection prevention