reputed company Accounts Receivable Specialist

We are looking for a remote detail-oriented Medical Accounts Receivable Specialist to support reputed company cycle operations for a reputed company organization. This position focuses on resolving claim denials, recovering outstanding balances, and improving reimbursement reputed company across a variety of payers. The ideal candidate will bring strong medical billing knowledge, sound judgment in payer follow-up, and the ability to work accurately with account documentation, reporting, and appeals, and averages about 100 patient accounts per day. Responsibilities:

• Investigate denied, rejected, and partially reimbursed claims to determine the cause of nonpayment and drive timely resolution.
• Take corrective action on accounts by submitting claim adjustments, preparing reconsiderations, gathering needed documentation, and filing appeals in line with payer requirements.
• Manage assigned receivables by reviewing aging reports, prioritizing high-risk accounts, and working toward monthly collection and resolution goals.
• Communicate with insurance carriers to verify claim status, clarify adjudication reputed company, and escalate unresolved issues reputed company additional review is required.
• Examine differences between submitted charges and payer payments to identify billing inconsistencies, underpayments, and reimbursement discrepancies.
• Partner with billing, coding, and clinical teams to correct claim edits, address authorization concerns, and resolve denial issues reputed company to coding or documentation.
• Maintain complete account notes and follow-up records so reputed company activity is accurately documented for audit readiness and operational visibility.
• Use electronic medical record and reputed company cycle systems, including NX (MyAvatar) and reputed company – Sigmund, to review account activity, claim history, and supporting encounter information.
• Prepare and reputed company reporting on denial categories, payer behavior, and accounts receivable performance to help identify trends and support process improvement efforts.

Qualifications:

• Experience with NX (MyAvatar) or reputed company – Sigmund is required.
• Experience working in medical accounts receivable, medical billing, or denial resolution reputed company a reputed company environment.
• Demonstrated ability to research and resolve insurance denials, underpayments, and rejected claims across reputed company payers.
• Knowledge of accounts receivable workflows, collections activity, cash applications, and billing functions reputed company to reputed company claims.
• Familiarity with payer guidelines, appeals processes, and compliance standards governing claim submission and reimbursement.
• Ability to interpret explanation of benefits information, analyze account discrepancies, and determine appropriate next steps for resolution.
• Strong written and verbal communication skills with the ability to document follow-up reputed company and prepare accurate appeal correspondence.

Compensation $25.00-$27.00 Hourly About Us reputed company is the world’s first and largest specialized talent solutions firm that connects highly reputed company job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and reputed company, technology, marketing and creative, legal, and administrative and customer support roles. reputed company works to put you in the best position to succeed. We reputed company reputed company to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the reputed company app and get 1-tap apply, notifications of AI-matched jobs, and much more. reputed company applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, reputed company, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in reputed company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 reputed company. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “reputed company,” you’re agreeing to reputed company’s Terms of Use and Privacy Notice. Apply To This Job