Accounts Receivable Specialist

Accounts Receivable Specialist (Healthcare Industry)

We are seeking a detail-oriented and experienced Accounts Receivable Specialist to join our healthcare finance team. The ideal candidate will have a strong background in managing medical billing, patient accounts, and insurance claims, with proven expertise using QuickBooks. This role requires excellent communication skills, accuracy, and a commitment to maintaining patient confidentiality and compliance with healthcare regulations.

Working hours : 3pm to 11pm (SA time to accommodate our USA business hours)

Key Responsibilities:

• Billing and Invoicing:
  • Generate accurate invoices for patient services, insurance claims, and third-party billing.
  • Verify patient information, insurance details, and coding accuracy before invoicing.
• Payment Processing:
  • Record and reconcile payments from patients, insurance companies, and other payers in QuickBooks.
  • Apply payments to patient accounts and update records accordingly.
• Claims Management:
  • Track insurance claim submissions, payments, and denials.
  • Follow up on outstanding insurance claims and appeal denials as needed.
• Account Reconciliation:
  • Reconcile accounts receivable ledger to ensure all payments are accounted for and properly posted.
  • Investigate and resolve discrepancies and billing errors.
• Patient Account Management:
  • Respond to patient and insurance inquiries related to billing and account status.
  • Assist with setting up payment plans and managing outstanding balances.
• Financial Reporting:
  • Prepare and distribute aging reports and other accounts receivable reports.
  • Monitor and report on key performance indicators related to collections and revenue.
• Compliance and Confidentiality:
  • Adhere to HIPAA regulations and company policies regarding patient information.
  • Ensure all documentation meets healthcare compliance standards.

Qualifications:

• Education: Diploma or degree in Accounting, Finance, Healthcare Administration, or a related field.
  Experience:
• • Minimum of 2-3 years of experience in healthcare accounts receivable or medical billing.
  • Hands-on experience with QuickBooks and healthcare billing software (e.g., Epic, Cerner, Medisoft).
• Skills:
  • Strong knowledge of healthcare billing procedures, insurance claim processing, and patient account management.
  • Excellent attention to detail and accuracy.
  • Strong analytical and problem-solving abilities.
  • Effective communication and customer service skills.
  • Proficiency in Microsoft Excel and other Office applications.
• Certifications: Certification in medical billing and coding is preferred (e.g., CPC, CPB).