Accounts Receivable Associate (Hybrid)

Role: Accounts Receivable Associate responsible for managing outstanding insurance claims, specifically addressing denials and ensuring timely reimbursements. Responsibilities: review and act on claim denials from Medicare, Medicaid, and commercial insurers; follow up on claim status via portals or phone; submit medical records and HCFA claims; resolve disputes; identify billing errors to optimize revenue cycle; ensure compliance with HIPAA and CMS guidelines; communicate regularly with payors and clients; meet productivity and quality standards. Requirements: high school diploma; 1-2 years in healthcare billing or related field; strong understanding of EOBs, CPT, ICD-10; proficiency with medical billing software, MS Office; excellent communication, organizational, and problem-solving skills. Preferred: associate’s degree in healthcare administration, finance, or related; professional demeanor, customer service focus, teamwork, continuous improvement mindset. High-Value: focus on insurance claim resolution in healthcare, experience with Medicare/Medicaid, familiarity with billing and coding standards, compliance with HIPAA and CMS, adaptable to shift work and overtime, with some weekend/evening availability. Work setup: primarily desk-based with potential shift work; physical demands include sitting, repetitive motions, lifting up to 15 pounds; pre-employment background screening required.