Accounts Receivable Specialist

GoHealth Urgent Care

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

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

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare billing and accounts receivable management, with a strong focus on claim resolution, insurance guidelines, and patient communication. Proficient in maintaining compliance with HIPAA regulations while delivering exceptional customer service.

Highest-signal resume keywords

Healthcare Billing Accounts Receivable ExperienceCPT and ICD Coding KnowledgeHIPAA ComplianceMicrosoft Office ProficiencyCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claim ResolutionInsurance Eligibility VerificationMathematical AccuracyDeductible and Coinsurance CalculationClaim Denial ResolutionAppeal FilingAccounts Receivable ManagementMedical TerminologyEOB InterpretationContractual Adjustments Processing

Soft Skills

Verbal Communication SkillsWritten Communication SkillsOrganizational SkillsTime Management SkillsCollaboration Skills

Tools & Technologies

EMR SystemsMicrosoft ExcelMicrosoft Word

Certifications & Qualifications

CPAR CertificationCertified Medical Billing Specialist Certification

Industry Keywords

HealthcareInsurance GuidelinesMedicareMedicaidWorkers’ CompensationPatient ConfidentialityClaim AppealsAging ReportsBilling Data ManagementCross-Functional Collaboration

About the role

Key responsibilities & impact

Follow up on unpaid claims using monthly aging reports and file appeals to obtain maximum reimbursement
Maintain accurate account and billing data, including patient, guarantor, insurance, procedure, and payment information
Manage accounts receivable through full lifecycle resolution
Submit claims via clearinghouses or directly to payers
Monitor, research, and resolve claim denials and payment issues
Contact insurance carriers and file appeals with appropriate documentation
Process claim retractions, write-offs, and contractual adjustments according to payer guidelines
Review and post insurance and patient payments and coordinate secondary billing
Respond to inquiries from patients, providers, and insurance companies and assist with inbound calls
Verify insurance eligibility and benefits coverage
Collaborate with Team Leaders, Section Leaders, and cross-functional teams to 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 handle service issues tactfully and professionally
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, 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
HIPAA compliance and patient information safeguarding
Preferred: 3+ years of Healthcare AR experience with large complex physician practice groups
Preferred: EMR experience across a minimum of one platform, such as Epic or Clinical Works
Preferred: CPAR certification
Preferred: 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