Accounts Receivable Specialist
Accounts Receivable Specialist – Vascular Surgery
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.
Key Responsibilities
- 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.
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
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