Accounts Receivable

• Follow up to collect on all open and unpaid accounts with insurance companies and third parties
• Inquire about unpaid claims
• Appeal denied claims with insurance companies
• Contact patients or account guarantors
• Research root issues of denials
• Apply payer policies to pursue appeals or follow up to obtain payment
• Review account history for continuous follow-up
• Address incoming correspondence and respond timely
• Prepare correspondence to insurance companies, patients, and/or guarantors
• Contact insurance companies and patients/guarantors by phone, correspondence, online portals, and other approved means
• Document claim issues and actions taken in the billing system
• Perform charge corrections based on payer and institutional policies
• Update demographic and insurance coverage information and bill new insurance as appropriate
• Perform other assigned duties

Accounts Receivable Specialist II

• Process and accurately apply customer payments, including research and resolution of unapplied cash
• Reconcile customer accounts and resolve payment, invoice, and account discrepancies
• Monitor AR aging and follow up on overdue balances
• Manage customer deductions, disputes, chargebacks, shortages, pricing discrepancies, and other claims
• Analyze customer accounts to identify collection opportunities, payment trends, and potential risks
• Prepare AR reports, account reconciliations, aging analyses, and management reporting
• Support month-end and year-end close activities, including AR reconciliations, reserve analysis, and journal entries or supporting documentation
• Maintain the AR reserve for customer deductions and outstanding claims
• Maintain accurate customer account records in the ERP system
• Collaborate with Sales, Customer Service, Trade Finance, Finance, and other business partners to resolve account issues and improve cash collections
• Support cash forecasting
• Assist with process improvements, automation, and system enhancements
• Support AR-related system implementations, upgrades, testing, and process improvements
• Ensure compliance with company policies, internal controls, and audit requirements
• Provide documentation and support for internal and external audits
• Respond to inquiries regarding invoices, payments, deductions, account balances, and collection status
• Identify recurring AR issues and recommend solutions
• Provide guidance and support to other AR team members without direct people-management responsibility
• Perform other duties as assigned

Senior Analyst, Accounts Receivable

• Supervise Team Leads and Specialists, setting expectations and ensuring accountability for team performance
• Develop departmental goals and KPIs aligned with company objectives
• Provide guidance on complex or escalated claim issues
• Oversee insurance AR follow-up, denial resolution, and appeals
• Review Aged Trial Balance and Denial Reports and drive resolution strategies
• Monitor reimbursement turnaround times and payer trends and implement corrective action
• Approve and track staffing allocations across teams
• Ensure compliance with payer requirements, billing regulations, and internal policies
• Oversee quality assurance reviews on claims and documentation
• Lead internal audits and participate in external compliance reviews
• Mentor and develop Team Leads
• Approve and coordinate training programs
• Conduct performance evaluations and establish professional development plans
• Analyze AR metrics and produce reports for senior leadership with process improvement recommendations
• Act as primary contact for escalated payer issues and client concerns
• Collaborate with other managers to support smooth revenue cycle operations

Insurance AR Manager

• Track and collect patient account payments from insurance providers
• Manage patient accounts receivable processes
• Minimize outstanding receivables and maximize revenue efficiency
• Support inter-company patients with insurance, account status, and billing questions
• Record all patient interactions and account task updates
• Keep patient statement balances current
• Process and post insurance payments received
• Coordinate billing for insurance-covered procedures according to business office policy
• Complete appeals and send documentation for incorrect, low, or denied insurance reimbursements
• Foster positive relationships with vendors, patients, and customers through professional payment interactions
• Perform other specific duties as assigned
• Report to the RCM Supervisor

Patient Accounts Receivable Representative

• Responsible for accurate and timely billing and account collections
• Obtain required billing information and documentation, including pre-certifications, codes, and insurance information, and enter it into the database
• Identify and resolve denied claims, escalating accounts as necessary to ensure timely payment
• Assist customers with billing questions
• Prepare and maintain billing and related reports
• Identify items to be billed by procedure and services performed
• Obtain necessary documentation and pre-certifications for billing
• Enter charges and submit bills according to Patient Accounting policy
• Post payments, perform daily reconciliations, produce daily census, and perform month-end close
• Maintain accurate and complete demographic and billing data
• Analyze, identify, and trend billing issues to reduce denials and variances
• Work system-generated reports such as residual balance, credits, and no-pay
• Report and resolve variances and inefficiencies, escalating accounts as necessary
• Communicate with department staff, customers, Patient Accounting, Physician Billing Services, employers, and insurance carriers
• Maintain communication with management regarding billing and coding issues, documentation, and denials/appeals
• Follow up on assigned insurances monthly and maintain records of declined claims requiring appeals

Accounts Receivable Claims Representative

• Monitor and oversee the daily activities of the accounts receivable team, including inventory management and staff training
• Monitor and coordinate follow-up activities to ensure equitable work assignments, timely account follow-up, and collection goals
• Perform weekly quality assurance reviews of the team’s work
• Review staff productivity reports weekly
• Provide weekly staff productivity updates to the AR Analyst
• Assist with and resolve external and internal client inquiries
• Prepare and maintain required reports and logs
• Maintain current working knowledge of healthcare-related issues and regulations
• Identify issues and work with the manager and director to resolve them
• Provide training, monitoring, feedback, and disciplinary action as necessary
• Maintain professionalism and confidentiality
• Monitor team attendance and PTO usage
• Disable remote client access for terminated or transferred employees when applicable and in a timely manner
• Comply with Information Security and HIPAA policies and procedures and ensure direct reports are trained and compliant
• Use, protect, and disclose patients’ PHI only in accordance with HIPAA standards
• Limit viewing of PHI to the minimum necessary to perform assigned duties
• Perform other duties as assigned

Supervisor, Accounts Receivable Services

• Monitor and oversee the daily activities of the accounts receivable team
• Manage AR operations, staff training, client relationships, and collection goals
• Monitor client inventory, account timeliness, accuracy, quality, productivity, and equitable work assignments
• Ensure supervisors conduct timely and accurate productivity and quality monitoring
• Ensure client-specific policies and procedures are documented and followed
• Provide assistance and resolution for external and internal client inquiries
• Prepare and maintain reports and logs, including monthly client reporting
• Monitor Smartfeed assignments in the MPower Workflow system and escalate issues to leadership and Customer Support
• Review contract pricing and escalate issues to the director and contract management team
• Maintain current knowledge of healthcare issues and regulations
• Provide training, monitoring, feedback, and disciplinary action as necessary
• Monitor team attendance and PTO usage
• Disable remote client access for terminated or transferred employees when applicable
• Ensure direct reports are trained and compliant with Information Security and HIPAA policies
• Report security or HIPAA violations and concerns to the HIPAA Officers
• Perform other duties assigned by management

Accounts Receivable jobs in New Jersey