Accounts Receivable Specialist

The role

You will manage an assigned book of insurance accounts receivable and follow up with payers on outstanding claims. You will investigate denials, post insurance payments, and report on AR aging and denial trends.

What you will do

• Manage an assigned book of insurance accounts receivable.
• Follow up with payers on outstanding claims, underpayments, and payment discrepancies.
• Investigate and resolve claim denials and rejections.
• Review claim edits and rejections before and after submission.
• Post and reconcile insurance payments, adjustments, and remittances.
• Research and resolve unapplied cash, overpayments, and underpayments.
• Track and report on AR aging, denial trends, and payment posting accuracy.
• Respond professionally to patient questions about claims, balances, and billing.
• Flag recurring reimbursement or process issues and recommend fixes.

Required qualifications

• 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.
• Ability to work remotely and communicate asynchronously via slack and email, along with thriving in virtual meetings.
• Have a valid Drivers License and REAL ID
• Applicants must be currently authorized to work in the United States on a full-time basis

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.

Benefits

• Unlimited PTO
• company holidays
• 401(k) eligibility

About the company

SimpliFed gives parents the tools they need to navigate baby feeding questions, concerns, and obstacles. It is a Series A company.