Accounts Receivable Specialist - Birmingham - HighFive Healthcare

    HighFive Healthcare
    HighFive Healthcare Birmingham

    6 days ago

    Description

    The Accounts Receivable Specialist is responsible for managing HighFives Oral Surgery insurance accounts receivable process. This role involves the timely and accurate submission of claims, following up on unpaid and denied claims, and working with insurance companies. The accounts receivable representative will also work closely with healthcare payors or patients to resolve any billing discrepancies or issues. The goal is to exceed HighFives net collection rates and reduction of aging receivable as established by the RCM management team.

    Responsibilities

    • Investigate, appeal, and resolve denied or rejected claims by insurance payors. Work with insurance companies to clarify discrepancies and ensure proper reimbursement.
    • Review and assess Explanation of Benefits (EOBs) at the claim level to determine issues.
    • Determine root cause of any billing related or claim submission issues to prevent recurrence.
    • Make corrections to claims based on denials and rebill utilizing standardized process and procedures.
    • Follow up with unresolved claims through system resources, clearinghouse, payer portal or call to the payor, when necessary.
    • Assess whether an appeal is required for a claim denial. Track appeals to ensure timely payment and resolution.
    • Spot recurring patterns in denials and report them to management for further analysis and action.
    • Effectively communicate both verbally and in writing with team members, payors, patients, and other relevant parties.
    • Keep up to date with internal processes, industry standards, and government regulations relevant to denial management to ensure compliance and best practices.
    • Participate in or take on special projects or additional duties as required by the team or management.
    • Meet or exceed required accounts per day to meet HighFive and providers expectations.
    • Achieve department goals for net collection rates and the resolution of denied claims, including those successfully paid or overturned.

    Requirements

    • Oral Surgery billing experience required.
    • High school diploma or equivalent; associate or bachelors degree in healthcare, business, or a related field preferred.
    • Minimum of 2 years of experience in healthcare billing and accounts receivable.
    • Knowledge of medical insurance plans, billing procedures, and healthcare reimbursement processes.
    • Proficiency with Electronic Health Record (EHR) systems and billing software.
    • Dental billing experience preferred but not required.
    • Working knowledge of excel and system workflows.
    • Prior experience with mid or large-scale healthcare business office of 100 or more providers preferred.
    • Strong attention to detail with the ability to accurately review and process claims.
    • Excellent communication and problem-solving skills.
    • Ability to work independently and manage multiple tasks simultaneously.
    • Knowledge of HIPAA and other healthcare compliance regulations.

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    We are committed to delivering high-quality billing services to our clients, and we are looking for a skilled and detail-oriented Accounts Receivable Specialist to join our team. · We value teamwork, mutual respect, and a shared commitment to achieving common goals. We work cohes ...

    Birmingham

    1 month ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    This role is perfect for someone who thrives in a collaborative, family-oriented environment and is eager to contribute to a well-established company with a century-long history. · Manage and apply checks and ACH deposits efficiently. · Cultivate customer relationships through t ...

    Birmingham

    1 month ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    +The Accounts Receivable Specialist will manage the collections of outstanding accounts receivable dollars from any new or existing customers and all other aspects of collections. · ...

    Birmingham Full time

    1 week ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    We are seeking an Accounts Receivable Specialist to manage collections of outstanding accounts receivable dollars from new or existing customers. · ...

    Birmingham

    1 week ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    Our client is looking for an Accounts Receivable Specialist to join their accounting team. You will handle a variety of tasks and assist with monthly closings. · ...

    Birmingham

    1 month ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    The Accounts Receivable Specialist will oversee the recording and collections of customer invoices ensuring accurate and prompt processing payments. · ...

    Birmingham

    1 month ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    We are looking for a skilled Accounts Receivable Specialist to work within our billing and revenue cycle management processes. · Follow up on unpaid claims and denials with insurance companies and patients. · Resolve billing discrepancies and insurance issues in a timely and effi ...

    Birmingham, AL

    1 month ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    Our client is looking for an Accounts Receivable Specialist to join their accounting team. · ...

    Birmingham, AL

    1 month ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    The Accounts Receivable Specialist is responsible for managing HighFive's Oral Surgery insurance accounts receivable process. · ...

    Birmingham

    1 month ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    The Accounts Receivable Specialist will manage collections of outstanding accounts receivable dollars from any new or existing customers and all other aspects of collections resolving billing problems and reducing the accounts receivable delinquency. · ...

    Birmingham, AL, USA

    1 week ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    The Accounts Receivable Specialist follows policy and procedures for all credit and collection-related functions and ensures company and state compliance is maintained.This position collaborates on credit and collection activity for specific locations with a designated Portfolio ...

    Birmingham

    1 month ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    We are excited to restore the collaborative in-person environment that fuels our innovation and growth. This move is not just about being physically present; it's about reigniting the spirit that comes from face-to-face interactions, fostering a collaborative, inclusive culture w ...

    Birmingham

    3 weeks ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    We are seeking a highly motivated and organized Accounts Receivable Specialist to join our team. This role requires strong initiative, excellent communication skills, and precision executing directions and completing tasks.Prepares and issues AR invoices and billings to customers ...

    Birmingham, AL

    1 month ago

  • Work in company

    Accounts Receivable/Credit Specialist

    Only for registered members

    Vaco has been engaged by one of Birmingham's premier companies to identify an Accounts Receivable/Credit Specialist who will be responsible for credit review and credit qualification of all vendors and clients. · Carry out credit reviewsMonitor accounts receivable aging reports a ...

    Birmingham

    1 week ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    A small organization in Birmingham is seeking an Accounts Receivable Professional. · Monitor customer account balances to ensure timely receipt of payments. · ...

    Homewood

    2 weeks ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    A small, well-established organization in Birmingham is seeking an Accounts Receivable Professional to join its close-knit accounting team. · This role offers a supportive culture, strong benefits, and long-term stability. Culture fit is the top priority for this hire. · The idea ...

    Homewood, AL

    2 weeks ago

  • Work in company

    Accounts Receivable Specialist – Oral Surgery

    Only for registered members

    This role focuses heavily on claim follow-up denial resolution appeals and payer communication with clear objective maximize net collections reduce aging AR in line with revenue cycle leadership goals. · ...

    Birmingham

    4 days ago

  • Work in company

    Payment Support/ Accounts Receivable Specialist

    Only for registered members

    Post payments. Work credit balances. Transfer balances to self-pay or secondary insurance. · Send accounts to charge posters for secondary insurance submission. · Give accounts to Insurance Collector for follow-up. · Place appropriate notes in patient accounts. · Send denials to ...

    Birmingham

    1 month ago

  • Work in company

    Specialist - Accounts Receivables 1

    Only for registered members

    The Specialist – Accounts Receivables 1 is responsible for managing Accounts Receivable portfolios by performing collections, write-offs, reclassifications, · Responsible for general collections work on a large number of accounts by making calls, sending emails,Researching residu ...

    Tarrant Full time

    1 month ago

  • Work in company

    Accounts Receivable Collections Specialist

    Only for registered members

    The Accounts Receivable Collections Specialist will assist with new account setup and entering Commercial job information into the system. · Assist with month-end A/R closing tasks and reporting. · Help balance the cash deposit sheet. · ...

    Irondale

    1 month ago

  • Work in company

    Accounts Receivable Collections Specialist

    Only for registered members

    Must Haves: · High school diploma or equivalent required. · Collection Specialist or in a similar A/R or credit-related role. · ...

    Irondale, AL

    1 month ago

Jobs
>
Accounts receivable specialist
>
Jobs for Accounts receivable specialist in Birmingham