SimpliFed
Accounts Receivable Specialist
- Compensation
- $55K–$70K
- Location
- Virtual
- Work setup
- Remote
- Seniority
- Not specified
- Employment
- Full time
- Experience
- 3+ years
- Category
- Finance
- Posted
Skills
Must have
- 3+ years of healthcare revenue cycle experience with a focus on accounts receivable, payment posting, or insurance billing.
- Working knowledge of medical billing, insurance claims processing, and payer reimbursement.
- Experience resolving claim denials, underpayments, and payment discrepancies.
- Experience posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash.
- Comfort working remotely and managing your own priorities and queue.
- Strong attention to detail and organizational skills — this role is the difference between revenue earned and revenue collected.
Nice to have
- Experience in a startup or high-growth healthcare or telehealth organization.
- Familiarity with Candid, Availity, or similar claims and payer-connectivity platforms.
- Women's health, maternal health, or lactation coding experience.
- CRCR, CPB, CPC, or other healthcare revenue cycle certification.
Full description
Accounts Receivable Specialist
Full-time · Reports to RCM Manager · Remote
Role Overview
As our Accounts Receivable Specialist, you'll own the follow-through on claims after they're submitted — chasing down payment, resolving denials, and closing the gap between care delivered and cash collected. You'll work closely with our RCM and claims platform (Candid), our scheduling/EMR system, and our billing leadership to keep receivables moving instead of aging. This is a hands-on, high-impact role at a company where collection speed and accuracy directly determine how fast we can grow.
What You'll Own
- Manage an assigned book of insurance accounts receivable, working claims from submission through final resolution to keep aging balances down.
- Follow up with payers on outstanding claims, underpayments, and payment discrepancies, and drive them to close.
- Investigate and resolve claim denials and rejections — corrected claims, appeals, and reconsiderations with the documentation payers require.
- Review claim edits and rejections before and after submission to reduce repeat denials, partnering with our RCM team on root causes.
- Post and reconcile insurance payments, adjustments, and remittances accurately and on schedule.
- Research and resolve unapplied cash, overpayments, and underpayments against contracted reimbursement rates.
- Track and report on AR aging, denial trends, and payment posting accuracy, feeding directly into our weekly RCM flash report.
- Respond professionally to patient questions about claims, balances, and billing, and escalate payer or system issues to the right owner.
- Flag recurring reimbursement or process issues and recommend fixes that reduce denials and speed up collection.
What Success Looks Like
- Cash collection rate climbs measurably toward our company target
- Denials in your book get resolved rather than aged out — fewer claims sit past timely filing deadlines.
- Payment posting is accurate and current, so RCM reporting reflects reality rather than a backlog.
- Patterns you catch (a payer, a code, a workflow gap) turn into process fixes, not just one-off saves.
What You'll BringRequired
- 3+ years of healthcare revenue cycle experience with a focus on accounts receivable, payment posting, or insurance billing.
- Working knowledge of medical billing, insurance claims processing, and payer reimbursement.
- Experience resolving claim denials, underpayments, and payment discrepancies.