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

• Invoice customers as required by bills of lading and production schedule
• Process adjustments for discrepancies by issuing invoices and/or credits
• Maintain monthly credit tracking spreadsheet
• Assist customers via phone or email with inquiries to resolve discrepancies
• Backup position for front desk during breaks and absences

AR Coordinator

• Post and apply incoming customer payments in USD and CAD, including check and ACH transactions, with accuracy and timeliness.
• Scan mailed checks in and help ensure deposits are completed regularly throughout the week.
• Pull payment reports and use that information to support daily posting activity.
• Verify that posted payment totals align with incoming funds and help maintain accurate accounts receivable records.
• Support month-end close activities related to cash application and accounts receivable, maintaining organized payment records.
• Send payment-related notifications to renewal representatives within expected timeframes.
• Assist with credit-related tasks including gathering financial information, reviewing credit reports, documenting findings for credit checks and approval workflows, and supporting credit evaluations for new and existing customers.
• Help manage incoming AR inquiries by professionally responding to emails and occasional phone calls as needed.

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Accounts Receivable Specialist

AR Specialist

AR Coordinator

Accounts Receivable Specialist