NextCare
Accounts Receivable Specialist
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Accounts Receivable Specialist
role at
NextCare
We are seeking a highly skilled and detail-oriented
Accounts Receivable Specialist
to join our medical billing team. This role is critical to maintaining the organization’s financial health, with a focus on timely and accurate resolution of outstanding medical claims. The ideal candidate will have a deep understanding of the medical billing lifecycle, advanced knowledge of payer guidelines, and a proven ability to reduce accounts receivable aging through proactive follow‑up and denial management.
Key Responsibilities
Claims Management: Monitor and follow up on unpaid and denied medical claims across a variety of payers (commercial, Medicare, Medicaid, etc.) to ensure timely reimbursement.
Denial Resolution: Research, analyze, and resolve claim denials and underpayments by identifying root causes, correcting errors, submitting appeals, or providing additional documentation as needed.
Account Reconciliation: Reconcile accounts receivable by posting adjustments and resolving discrepancies to maintain accurate financial records.
Trend Analysis & Reporting: Generate and analyze A/R reports to identify patterns in denials, reimbursement delays, or system inefficiencies, and recommend process improvements.
Collaboration: Partner with billing, coding, and compliance teams to ensure claims are processed accurately and efficiently.
Compliance: Maintain strict adherence to HIPAA regulations, payer‑specific guidelines, and company policies to ensure data integrity and patient confidentiality.
Qualifications
Experience: Minimum of 5 years of experience in medical billing or accounts receivable with a strong emphasis on insurance claim resolution and denial management.
Knowledge: In‑depth understanding of medical billing and coding principles (CPT, ICD‑10, HCPCS) and payer reimbursement methodologies.
Technical Skills: Proficiency with medical billing software; experience with NextGen Billing strongly preferred. Waystar Clearinghouse expertise required.
Analytical Skills: Strong ability to interpret EOBs, remittance advice, and payer correspondence to resolve complex claim issues.
Attention to Detail: Exceptional accuracy in data entry, financial reconciliation, and documentation.
Communication Skills: Effective written and verbal communication skills to interact with payers, internal teams, and external stakeholders in a professional manner.
Work Location For candidates residing in Arizona, this is a hybrid position requiring a combination of remote and in‑office work.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
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Accounts Receivable Specialist
role at
NextCare
We are seeking a highly skilled and detail-oriented
Accounts Receivable Specialist
to join our medical billing team. This role is critical to maintaining the organization’s financial health, with a focus on timely and accurate resolution of outstanding medical claims. The ideal candidate will have a deep understanding of the medical billing lifecycle, advanced knowledge of payer guidelines, and a proven ability to reduce accounts receivable aging through proactive follow‑up and denial management.
Key Responsibilities
Claims Management: Monitor and follow up on unpaid and denied medical claims across a variety of payers (commercial, Medicare, Medicaid, etc.) to ensure timely reimbursement.
Denial Resolution: Research, analyze, and resolve claim denials and underpayments by identifying root causes, correcting errors, submitting appeals, or providing additional documentation as needed.
Account Reconciliation: Reconcile accounts receivable by posting adjustments and resolving discrepancies to maintain accurate financial records.
Trend Analysis & Reporting: Generate and analyze A/R reports to identify patterns in denials, reimbursement delays, or system inefficiencies, and recommend process improvements.
Collaboration: Partner with billing, coding, and compliance teams to ensure claims are processed accurately and efficiently.
Compliance: Maintain strict adherence to HIPAA regulations, payer‑specific guidelines, and company policies to ensure data integrity and patient confidentiality.
Qualifications
Experience: Minimum of 5 years of experience in medical billing or accounts receivable with a strong emphasis on insurance claim resolution and denial management.
Knowledge: In‑depth understanding of medical billing and coding principles (CPT, ICD‑10, HCPCS) and payer reimbursement methodologies.
Technical Skills: Proficiency with medical billing software; experience with NextGen Billing strongly preferred. Waystar Clearinghouse expertise required.
Analytical Skills: Strong ability to interpret EOBs, remittance advice, and payer correspondence to resolve complex claim issues.
Attention to Detail: Exceptional accuracy in data entry, financial reconciliation, and documentation.
Communication Skills: Effective written and verbal communication skills to interact with payers, internal teams, and external stakeholders in a professional manner.
Work Location For candidates residing in Arizona, this is a hybrid position requiring a combination of remote and in‑office work.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
#J-18808-Ljbffr