Accounts Receivable

• Serve as the main liaison for customers and the assigned sales team
• Collaborate with BizDev representatives on rate requests, accessorial approvals, and time-sensitive tasks
• Monitor accounts receivable aging and unbilled reports
• Collect past-due invoices and meet aging metrics
• Build and maintain customer relationships
• Manage invoicing processes, including document collection, uploads, billing methods, and customer submissions
• Communicate payment terms and support ACH payment setup
• Maintain payment-status documentation and analyze accessorial charges
• Investigate and resolve short payments, overpayments, misapplied funds, unapplied cash, and other payment discrepancies
• Address uninvoiced revenue and reconcile unapplied cash
• Identify and resolve invoicing errors
• Collaborate with internal teams on write-offs, cash allocation, and process improvements
• Develop, document, and enforce invoicing and load-building SOPs

Accounts Receivable Specialist

• 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

Accounts Receivable Specialist – VA/Tricare HB/PB Billing

• Resolve outstanding accounts receivable balances from existing clients
• Handle collections and resolve customer billing problems
• Reduce accounts receivable discrepancies
• Provide quick resolution for disputes, inquiries, and invoice clarifications
• Research customer issues, use skip tracing methods, and settle past-due payments
• Maintain positive relationships with external customers
• Meet department collections metrics and goals
• Increase recovery of past-due amounts through a proactive and professional approach
• Call and email 50+ accounts daily

• Manage accounts receivable in accordance with compliance, regulatory, billing, and payer requirements
• Collect outstanding receivables through payer portals and phone lines
• Validate coverage and accurately bill insurance claims
• Resolve charge review edits, claim edits, clearinghouse rejections, and payer rejections
• Follow up on unpaid, rejected, denied, and allowance-discrepancy claims
• Complete basic reconsiderations and appeals
• Answer, document, and resolve inquiries from patients, insurers, public agencies, internal departments, and third-party payers
• Research medical documentation, eligibility, billing guidelines, referrals, and authorizations using clinical applications and payer websites
• Review undistributed payments and apply them to open balances
• Review and resolve incoming correspondence
• Request adjustments, prepare corrected bills, adjust accounts receivable entries, and process refunds as appropriate
• Collaborate with Billing, Coding, Cash Posting, and other departments to ensure claims are correctly processed and paid
• Answer departmental calls on a rotating basis and direct callers to the appropriate representative
• Perform other duties as assigned

Accounts Receivable Specialist – Insurance, HB, Denials, Appeals

• Manage accounts receivable in accordance with compliance, regulatory, billing, and payer guidelines
• Collect outstanding receivables through payer portals and phone lines
• Validate coverage and accurately bill insurance claims
• Resolve charge review edits, claim edits, clearinghouse rejections, and payer rejections
• Follow up on outstanding receivables and complete basic appeals
• Answer, document, and complete inquiries from insurance companies, internal departments, and third-party payers
• Submit timely claims and non-complex reconsiderations or appeals for community, government, and commercial health plans
• Monitor, research, and resolve unpaid, rejected, denied, and allowance-discrepancy claims
• Document collection activities in the billing system
• Retrieve medical documentation, eligibility information, billing guidelines, referrals, and authorizations using clinical applications and payer websites
• Apply undistributed payments to open balances
• Review and resolve incoming correspondence
• Identify, prepare, and request account adjustments
• Resolve insurance setup errors to facilitate timely billing
• Evaluate credit/balance accounts and initiate refunds or payer recoupments
• Prepare adjusted and corrected bills, accounts-receivable adjustments, and payer appeals
• Answer or direct departmental calls through a rotation line
• Perform other duties as assigned
• Collaborate with Billing, Coding, Cash Posting, and other departments to ensure claims are processed and paid correctly

Accounts Receivable jobs in Illinois

Accounts Receivable Specialist

Accounts Receivable Specialist – VA/Tricare HB/PB Billing

Accounts Receivable Specialist

Accounts Receivable Specialist – Insurance, HB, Denials, Appeals

Accounts Receivable Insurance Specialist – Hospital Billing, Medicaid, Denials, Dual Systems Experience