Accounts Receivable Specialist – VA/Tricare HB/PB Billing

Carle Health

. Manage accounts receivable according to compliance, regulatory, billing, and payer guidelines .

Posted 9/29/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $17 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing accounts receivable, including compliance with billing and payer guidelines, while effectively resolving claims and denials. Proficient in utilizing clinical applications and payer systems to ensure accurate documentation and communication.

Highest-signal resume keywords

Accounts Receivable ManagementVA/Tricare HB/PB BillingHIPAA ComplianceClaims ResolutionStrong Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance Claims SubmissionCharge Review EditsClaim EditsClearinghouse RejectionsPayer RejectionsAccount Follow-UpBilling System DocumentationPayer CorrectionsRefund ProcessingAccounts Receivable Adjustments

Soft Skills

Problem-Solving SkillsCritical ThinkingMultitasking AbilityInitiativeConfidentiality

Tools & Technologies

Clinical ApplicationsPayer WebsitesBilling Systems

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

ComplianceRegulatory GuidelinesBilling GuidelinesPayer GuidelinesInsurance Setup Errors

About the role

Key responsibilities & impact

Manage accounts receivable according to compliance, regulatory, billing, and payer guidelines
Collect outstanding receivables through payer portals and phone lines
Validate coverage and resolve charge review edits, claim edits, clearinghouse rejections, and payer rejections
Submit accurate electronic and paper insurance claims
Submit non-complex reconsiderations and appeals
Monitor, research, and resolve unpaid, rejected, denied, and allowance-discrepancy claims
Perform account follow-up and collections
Document collection activities in the billing system
Resolve denied and rejected invoices and prepare payer corrections and appeals
Use clinical applications, payer websites, and other systems to retrieve documentation, eligibility information, billing guidelines, referrals, and authorizations
Apply undistributed payments to open balances
Review and resolve correspondence
Request adjustments and respond to patients, insurers, public agencies, internal departments, and third-party payers
Resolve insurance setup errors and billing edits
Evaluate credit/balance accounts, issue refunds, and initiate payer recoupments
Prepare appeals, adjusted and corrected bills, accounts receivable adjustments, and refunds
Answer department calls through a rotation line and direct callers appropriately
Collaborate with Billing, Coding, Cash Posting, and other departments
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or GED
Experience with VA/Tricare HB/PB billing
Strong written and oral communication skills
High standard of confidentiality
Ability to handle a large volume of work
Ability to multitask
Ability to manage confidential information in a HIPAA-compliant way
Strong problem-solving and critical thinking skills
Ability to take initiative, accept direction, and seek guidance appropriately

Benefits

Comp & perks

Comprehensive benefits package
Equal Opportunity Employer
E-Verify participation