Accounts Receivable Specialist

Base pay range

$25.00/hr - $27.38/hr

• Handle healthcare payment posting, including both manual and electronic transactions.
• Interpret EOBs, EFTs, ERAs, COB, and 835 files accurately.
• Navigate payer guidelines for Medicare, Medicaid, Commercial plans, and Workers' Compensation.
• Manage contractual adjustments, proration methodologies, and secondary/tertiary payer rules.
• Resolve complex denials and reconcile unapplied or misapplied payments.
• Apply revenue cycle accounting principles for payment posting and reconciliation.
• Work with systems like Interactant (HCS), Well Sky, or comparable EMR/payment posting systems.
• Post payments with exceptional attention to detail across multiple dates of service, payers, and accounts.
• Analyze and allocate lump-sum payments across patient accounts.
• Research payment variances and independently resolve discrepancies.
• Communicate effectively with billers, collectors, and payer representatives.
• Contribute to workflow and process improvement initiatives.

• 3-5 years of experience in healthcare payment posting.
• Strong mathematical and analytical skills for interpreting remittance advice.
• Proficiency in Excel and other data reconciliation tools.
• Experience with clearinghouses, payer portals, lockbox files, and remittance systems.
• Familiarity with batch posting, remittance matching, and custom posting rules.
• Understanding of automated and manual posting environments.
• Self-motivated with strong problem-solving and critical-thinking skills.
• Ability to perform under pressure and meet tight deadlines.
• High level of ownership, accountability, and follow-through.
• Experience in rehabilitation, home health, or residential healthcare settings is preferred.
• Exposure to payer audits, recoupments, and post-payment reviews is beneficial.
• Basic understanding of contract modeling or reimbursement analytics is advantageous.

• Associate

• Contract

• Accounting/Auditing and Analyst

• Medical Practices

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