Accounts Receivable Specialist 244417 (Irving)

Job Title : Accounts Receivable Associate

Location : Irving, Texas (Onsite)

Schedule : Monday Friday, 8 : 00 AM 4 : 30 PM

Job Type : Full-Time

Job Overview :

We are seeking a detail-oriented Accounts Receivable Associate to join our team. The ideal candidate will be responsible for reviewing outstanding denied claims from Medicare, Medicaid, and Commercial insurance companies. This role involves regular communication with payors to determine claim status, submission of required documentation (including medical records), and resolution of denials to support an optimized revenue cycle.

Key Responsibilities :

• Review insurance denials and take appropriate corrective actions.
• Check claims status via phone or insurance portals.
• Submit medical records upon request and follow up to ensure receipt.
• Submit HCFA claims to payors that do not accept electronic submissions.
• Submit retro authorizations when applicable.
• Communicate and coordinate with insurance companies to resolve claims disputes.
• Identify and correct billing errors and recommend process improvements.
• Monitor and report process issues that impact reimbursement.
• Utilize payor portals for claim status updates.
• Respond professionally and promptly to inquiries from insurance companies, patients, and client representatives.
• Ensure compliance with HIPAA, CMS guidelines, and payer-specific policies.
• Meet or exceed productivity and quality standards.

Must-Have Qualifications :

Nice-to-Have Qualifications :

Key Soft Skills :