Sutherland

Medical Accounts Receivable Specialist

Sutherland

full-time

Posted on:

Location Type: Remote

Location: Remote • Kentucky • 🇺🇸 United States

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Job Level

JuniorMid-Level

About the role

  • Perform payment follow-up activities on assigned patient accounts.
  • Conduct collection activities by contacting government agencies, third-party payers, or patients via phone, email, or online portals.
  • Continue follow-up efforts until the account is resolved, paid, or appropriately escalated.
  • Review and address previously appealed claims, ensuring timely responses from payers.
  • Request and track additional documentation from internal departments or patients as needed.
  • Research payer plans and verify benefit coverage to resolve claim discrepancies.
  • Identify billing or coding issues and request re-bills, secondary billing, or corrected claims as required.
  • Monitor payer trends and escalate recurring issues or delays to management.
  • Maintain productivity and quality standards for assigned accounts.
  • Ensure compliance with all federal, state, and payer-specific regulations related to medical collections and appeals.
  • Collaborate with other departments to ensure efficient resolution of account issues.

Requirements

  • High school diploma or equivalent required; post-secondary education in billing or healthcare administration preferred.
  • Minimum 1–2 years of experience in medical billing, collections, or accounts receivable follow-up.
  • Solid understanding of the revenue cycle process, including patient access, billing, and collections.
  • Working knowledge of Managed Care, HMO/PPO, Medicare/Medicaid, and commercial payer guidelines.
  • Familiarity with UB-04 and HCFA 1500 billing forms.
  • Strong analytical and problem-solving skills with attention to detail.
  • Excellent written and verbal communication skills.
  • Ability to meet daily productivity and accuracy standards.
  • Proficiency in Microsoft Office and experience with billing or claim management systems preferred.
Benefits
  • Health insurance
  • Flexible work arrangements
  • Professional development opportunities

Applicant Tracking System Keywords

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

Hard skills
medical billingcollectionsaccounts receivablerevenue cycle processManaged CareHMOPPOMedicareMedicaidbilling forms
Soft skills
analytical skillsproblem-solving skillsattention to detailwritten communicationverbal communicationproductivityaccuracy
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