Accounts Receivable Specialist

HighFive Healthcare

. Manage HighFive’s Oral Surgery insurance accounts receivable process .

Posted 10/16/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Oral Surgery insurance accounts receivable, including accurate claim submission, denial resolution, and compliance with healthcare regulations. Proficient in utilizing EHR systems and billing software to enhance operational efficiency and achieve departmental goals.

Highest-signal resume keywords

Oral Surgery Billing ExperienceDenial Management ExpertiseHealthcare Billing KnowledgeEHR Systems ProficiencyAttention To Detail

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

Claims SubmissionBilling Discrepancy ResolutionRoot Cause AnalysisClaim RebillingAccounts Receivable ManagementMedical Insurance KnowledgeHealthcare Reimbursement ProcessesExcel ProficiencyDenial Patterns IdentificationAppeal Tracking

Soft Skills

Excellent CommunicationProblem-Solving SkillsAbility To Work IndependentlyTime ManagementAttention To Detail

Tools & Technologies

Electronic Health Record (EHR) SystemsBilling SoftwareClearinghousesPayer Portals

Industry Keywords

Healthcare ComplianceHIPAA RegulationsAccounts ReceivableInsurance ClaimsTMJ Billing

About the role

Key responsibilities & impact

Manage HighFive’s Oral Surgery insurance accounts receivable process
Submit claims accurately and on time
Follow up on unpaid and denied claims
Work with insurance companies, healthcare payors, and patients to resolve billing discrepancies and issues
Investigate, appeal, and resolve denied or rejected claims
Clarify discrepancies with insurance companies and ensure proper reimbursement
Review and assess Explanation of Benefits (EOBs) at the claim level
Determine root causes of billing or claim submission issues and prevent recurrence
Correct and rebill claims based on denials using standardized processes and procedures
Follow up on unresolved claims through system resources, clearinghouses, payer portals, or calls to payors
Assess whether appeals are required and track appeals for timely payment and resolution
Identify recurring denial patterns and report them to management
Communicate with team members, payors, patients, and other relevant parties
Keep current with internal processes, industry standards, and government regulations related to denial management
Participate in special projects or perform additional duties as required
Meet or exceed required accounts per day
Achieve department goals for net collection rates and denied-claim resolution

Requirements

What you’ll need

Oral Surgery billing experience required
Denial/Claim OR AR Experience with TMJ (temporomandibular joint/orthognathic surgery) preferred
High school diploma or equivalent; associate or bachelor’s degree in healthcare, business, or a related field preferred
Minimum of 2 years of experience in healthcare billing and accounts receivable
Knowledge of medical insurance plans, billing procedures, and healthcare reimbursement processes
Proficiency with Electronic Health Record (EHR) systems and billing software
Dental billing experience preferred but not required
Working knowledge of excel and system workflows
Prior experience with mid or large-scale healthcare business office of 100 or more providers preferred
Strong attention to detail with the ability to accurately review and process claims
Excellent communication and problem-solving skills
Ability to work independently and manage multiple tasks simultaneously
Knowledge of HIPAA and other healthcare compliance regulations