Healthcare Accounts Receivable Specialist

Days / Hours:

- Monday - Friday; 8:00 AM to 5:00 PM

- No Holidays

- No Weekends

Job Title: Patient Account Specialist

Department: Business Office 

Reports To: Business Office Manager

Position Summary: The Accounts Receivable (AR) Specialist is responsible for the accurate and timely posting and reconciliation of all insurance and patient payments, including daily deposits from remittances and patient transactions. This role supports cash flow and account accuracy by managing outstanding balances, following up on unpaid or underpaid claims, and assisting patients with account resolution. The AR Specialist also supports reporting and works collaboratively with revenue cycle teams to ensure efficient, accurate payment processing and account management.

Essential Job Functions Duties and Responsibilities

Payment Posting & Reconciliation

• Post daily insurance remittances (ERAs/EOBs) and patient payments (cash, check electronic) accurately and timely
• Balance and reconcile daily deposits to bank reports, clearinghouse files, and system totals
• Identify and resolve payment discrepancies, including denials, underpayments, and unapplied cash
• Ensure proper contractual adjustments are applied in accordance with payer agreements
• Maintain organized documentation of all payment activity for audit tracking purposes

Accounts Receivable Follow-Up & Collections

• Monitor and work AR Aging reports to ensure timely follow-up on outstanding balances
• Investigate and resolve unpaid or underpaid claims with insurance carriers
• Support billers with submitting corrections, rebills, or appeals as needed to secure appropriate reimbursement
• Escalate complex or high-dollar accounts for further review and resolution
• Support collection efforts by working with outside collection agency for patient balances and bad debt

Patient Account Support & Customer Service

• Respond to patient inquiries regarding balances, payments, and billing questions
• Assist patients with payment processing, including setting up payment plans when appropriate
• Educate patients on insurance coverage, billing processes, and financial responsibility
• Resolve patient account issues promptly and professionally to ensure a positive experience
• Work with others in business office to address registration or billing discrepancies impacting accounts

Reporting & Work Queue Management

• Run and review daily, weekly, and monthly AR and payment reports
• Maintain assigned work queues to ensure timely processing and follow-up of accounts
• Track and report trends related to denials, payment delays, and aging balances
• Prioritize workload to meet departmental goals and cash targets
• Support leadership with data gathering and reporting as needed

Revenue Cycle Collaboration & Process Improvement

• Collaborate with billing, coding, and registration teams to resolve account issues
• Identify trends or root causes impacting reimbursement and recommend solutions
• Assist in implementing process improvements to enhance efficiency and accuracy
• Ensure compliance with organizational policies, payer requirements, and regulatory guidelines
• Participate in team meetings and ongoing training to support revenue cycle performance