POSITION OVERVIEW

The Accounts Receivable Specialist is responsible for managing all aspects of billing, collections, and reimbursement for a busy vascular surgery practice. This role ensures timely and accurate submission of claims, payment posting, and follow-up on outstanding accounts, supporting the financial health of the practice while maintaining compliance with healthcare regulations and payer requirements.

QUALIFICATIONS

• Associate or bachelor’s degree in accounting, Finance, Healthcare Administration, or related field (preferred).
• 2+ years of experience in medical billing, accounts receivable, or revenue cycle management, preferably in a specialty practice or surgical setting.
• Knowledge of CPT, ICD-10, and HCPCS coding, as well as insurance claim processes.
• Familiarity with Medicare, Medicaid, and commercial insurance reimbursement guidelines.
• Proficiency with electronic health record (EHR) and practice management systems (e.g., Epic, Athenahealth, eClinicalWorks, NextGen).
• Strong organizational skills and attention to detail.
• Excellent communication and problem-solving abilities.

SKILLS

• Medical billing and AR management
• Insurance follow-up and collections
• Payment posting and reconciliation
• Denial management and appeals
• Knowledge of healthcare compliance (HIPAA, payer regulations)
• Strong patient relations and customer service

• Prepare, review, and submit claims to insurance carriers, government payers, and patients.
• Accurately post insurance and patient payments (EOBs, ERAs, EFTs, checks, and credit cards).
• Review accounts receivable aging reports to identify outstanding balances and take action to resolve them.
• Follow up on denied, underpaid, or delayed claims and resubmit as necessary.
• Communicate with insurance companies to resolve claim issues and ensure proper reimbursement.
• Contact patients regarding balances, payment plans, and billing inquiries with professionalism and empathy.
• Reconcile daily deposits, payments, and adjustments in the practice management system.
• Maintain compliance with HIPAA regulations and payer guidelines.
• Assist with month-end reporting and support audits as needed.
• Collaborate with the clinical and administrative staff to ensure accurate coding and documentation for billing.