RCM Accounts Receivable Specialist
Netsmart
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- Responsible for researching and resolving outstanding balances by following up on claim status
- Manage the end-to-end A/R workflow including billing, payment posting, adjustments, reconciliation, claim follow-up, and resolution
- Ensure timely and accurate submission of claims across commercial, Medicare, Medicaid, and managed care payers
- Conduct detailed review of denied or underpaid claims to determine root causes and corrective actions
- Communicate with insurance carriers via phone, email, fax, and portal correspondence to resolve outstanding issues
Requirements
- High school diploma or GED
- Minimum 1 year of medical billing, claims, or A/R experience
- Advanced Microsoft Excel skills (vlookups, pivot tables, data organization)
- Strong analytical, investigative, and problem-solving skills
- Excellent verbal and written communication skills
- Basic understanding of insurance plans, medical terminology, Medicare and Medicaid billing guidelines
Benefits
- Health insurance
- 401(k) matching
- Flexible work arrangements
- Professional development
- Paid time off
- Wellness programs
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingclaims processingA/R managementbillingpayment postingadjustmentsreconciliationdata organizationMicrosoft Excelvlookups
Soft Skills
analytical skillsinvestigative skillsproblem-solving skillsverbal communicationwritten communication
Certifications
high school diplomaGED