Accounts Receivable Specialist

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Logo of Connecting for Better Health

Connecting for Better Health

1 - 10 employees

Founded 2021

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

Connecting for Better Health is a nonprofit coalition dedicated to improving health and social service data sharing in California. The organization brings together providers, caregivers, health plans, advocates, and community organizations to collaborate on enhancing data sharing policies. Their initiative promotes the Data Exchange Framework (DxF), which aims to facilitate secure and efficient exchanges of health and social services information to support better whole-person care.

📋 Description

• Manage assigned insurance accounts receivable to ensure timely reimbursement and reduce aging balances • Follow up with insurance payers on outstanding claims, underpayments, denials, and payment discrepancies • Investigate and resolve claim denials through corrected claims, appeals, reconsiderations, and supporting documentation • Review claim edits and rejections for accurate resubmission and denial prevention • Post insurance payments, adjustments, and remittances into the billing system • Perform daily reconciliation of payments against ERAs, EOBs, bank deposits, and payment reports • Research and resolve unapplied cash, payment variances, overpayments, and underpayments • Reconcile payer payments against contracted reimbursement rates and escalate discrepancies • Maintain documentation of AR activities, payer communications, payment research, and outcomes • Respond to patient inquiries regarding claims, billing statements, payments, balances, and billing policies • Communicate with providers, payers, and internal stakeholders to resolve and prevent claim and payment issues • Collaborate with Eligibility & Benefits, Credentialing, Finance, Clinical Operations, and other cross-functional teams • Analyze AR, payment, and denial data to identify trends, root causes, and process improvements • Monitor and report AR performance, payment posting accuracy, denial trends, aging, and other revenue cycle metrics • Support month-end close, payment balancing, reporting, and audit requests • Recommend improvements to payment accuracy, cash collections, and denial reduction • Ensure compliance with organizational policies, payer requirements, financial regulations, HIPAA, and healthcare billing standards

🎯 Requirements

• Bachelor's Degree in Business Administration or relevant course work • 2+ years of healthcare revenue cycle experience focused on accounts receivable, payment posting, or insurance billing • Knowledge of medical billing, insurance claims processing, and payer reimbursement • Experience resolving claim denials, underpayments, and payment discrepancies • Experience posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash • Experience working successfully in a remote environment and managing priorities independently • Proficiency with EMR and medical billing systems • Strong analytical, problem-solving, and organizational skills with excellent attention to detail • Excellent communication and customer service skills • Proficiency with Google Workspace, including Sheets, Docs, and Gmail, and ability to learn new systems quickly • Preferred: startup or high-growth healthcare experience • Preferred: telehealth or virtual care experience • Preferred: payer contract reimbursement analysis and payment variance investigation experience • Preferred: familiarity with payer portals, clearinghouses, EFT/ERA processing, and payment reconciliation • Preferred: revenue cycle metrics reporting experience, such as AR aging, denials, and net collection rate • Preferred: experience with Athenahealth, Apero, Salesforce, or similar healthcare platforms • Preferred: CRCR, CPB, CPC, or other healthcare revenue cycle certification

🏖️ Benefits

• Salary range of $47,000–$52,000 per year plus bonus eligibility • Employer-sponsored medical, dental, and vision coverage • Unlimited PTO + 11 paid company holidays • Eligibility to contribute to 401(k) • Remote-first work from home within approved states • Tailored professional development opportunities as the organization scales • Access to Overalls life concierge

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