Accounts Receivable Specialist

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SimpliFed

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2020

💼 Consulting

🍽️ Food & Beverage

✈️ Travel

💰 Non Equity Assistance - SimpliFed on 2025-03

Consulting • Food & Beverage • Travel

SimpliFed is a digital maternal and infant-care platform that delivers tailored lactation, baby-feeding, and postpartum support for families while integrating with providers and health plans. The company provides virtual care and coordinated care pathways (referrals, EHR/EMR integration, automated workflows) to improve feeding outcomes, reduce ER utilization, and support clinical quality measures. SimpliFed serves families directly and partners with health systems and payers to embed scalable, outcomes-focused maternal health services.

📋 Description

• Manage an assigned book of insurance accounts receivable from claim submission through final resolution • Follow up with payers on outstanding claims, underpayments, and payment discrepancies • Investigate and resolve claim denials and rejections through corrected claims, appeals, and reconsiderations • Review claim edits and rejections and partner with the RCM team on root causes • Post and reconcile insurance payments, adjustments, remittances, and unapplied cash • Research overpayments and underpayments against contracted reimbursement rates • Track and report AR aging, denial trends, and payment posting accuracy for the weekly RCM flash report • Respond to patient questions about claims, balances, and billing and escalate payer or system issues • Identify recurring reimbursement or process issues and recommend fixes • Collaborate with operations, finance, clinical, and product teams

🎯 Requirements

• 3+ years of healthcare revenue cycle experience focused on accounts receivable, payment posting, or insurance billing • Working 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 • Comfort working remotely and managing priorities and queues independently • Strong attention to detail and organizational skills • Ability to communicate asynchronously via Slack and email and participate in virtual meetings • Ability to work in a fast-paced team environment • Valid driver's license and REAL ID • Currently authorized to work full-time in the United States • Preferred: startup, high-growth healthcare, or telehealth experience • Preferred: familiarity with Candid, Availity, or similar claims and payer-connectivity platforms • Preferred: women's health, maternal health, or lactation coding experience • Preferred: CRCR, CPB, CPC, or other healthcare revenue cycle certification

🏖️ Benefits

• Unlimited PTO plus company holidays • 401(k) eligibility • Remote-first work with flexibility • Bonus eligibility