Accounts Receivable

• Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up
• Verify eligibility, identify payor changes, and accurately update coordination of benefits (COB); navigate payor portals to identify correct payors
• Make outbound calls and collaborate with insurance payors and partner facility business offices for claim resolution; answer incoming calls professionally
• Identify and communicate denial trends and coding issues to support clean claim processing
• Perform account reconciliation — identify overpayments, complete refund requests, and process insurance takebacks via ERAs
• Resolve assigned worklist items with detailed account documentation; maintain daily AR log reporting to Supervisor and meet department productivity standards

Accounts Receivable Specialist

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Review customer account reports and follow up to ensure any flags/concerns are notated proactively and communicated to the Customer Billing Advocate (CBA)
• Review A/R Aging Reports and follow up with insurance companies regarding expected reimbursement for outstanding claims
• Notate & document all follow up work on aging claims within A/R Aging Reports as required and documented in standard SOPs
• Meet expectations on deadlines for completion of A/R Aging Reports for each customer supported within POD
• Follow up on denials immediately and communicate any trends to CBA
• Follow up on any open A/R tickets in Salesforce as assigned by CBA
• Meet deadlines assigned for A/R work as assigned by CBA
• Utilize denial management platforms for submission of appeals, reconsideration requests, etc.
• Research specific payor billing rules as needed
• Follow up on claims submitted electronically for primary and secondary payors
• Submit corrected claims when needed
• Attend POD meetings and contribute to agenda items as designated by CBA
• Post payments or submit missing payments to posting team and maintain A/R as assigned
• File appeals to insurance and to insurance commissioner as needed
• Stay informed about Payor and Industry Billing rules
• Review & interpret payor contracts when applicable
• Measure and monitor key metrics related to work performance
• Attend customer meetings as needed with CBA
• Work to meet POD goals collectively as cohesive team
• Foster a positive work environment for colleagues

AR Specialist

• Provide day‑to‑day support for business unit customers and vendors through the procure‑to‑pay process
• Seek process improvement efficiencies and understand corporate structures, business contacts, and stakeholders
• Participate in special projects, audits, and other duties as assigned
• Address and resolve varied and complex escalated issues
• Ensure timely and accurate invoicing and collection of money due to the company, and banking deposits
• Maintain accurate and complete client files/filing and make recommendations to improve the quality of invoicing and collection procedures
• Monitor processing of invoices and ensure timely payments
• Review client documentation to ensure proper systems set up and compliance with correct accounting procedures
• Ensure proper recordkeeping of purchases for use in tax preparation and periodic audits
• Train and provide guidance to Accounts Receivable/Payable team members; provide assistance as needed
• Maintain a process for tracking receipt of data and source documents
• Monitor and report on changes in payment standards
• Prepare and sort source documents and interpret data to be entered
• Contact preparers of source documents to resolve questions, inconsistencies or missing data
• Perform data entry in the Accounts Payable/Account Receivable System from source documents, complete necessary coding, confirm accuracy of data, and make necessary corrections
• Perform other duties and responsibilities as needed or assigned

See all jobs on JobTailor

Accounts Receivable Specialist

AR Specialist

Senior AP/AR Specialist