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).