Medical Accounts Receivable Specialist

Position Summary Aspire Medical Billing is seeking a detail-oriented and analytical Accounts Receivable (AR) Specialist to support the organization's revenue cycle operations. This position is responsible for accurately reviewing, reconciling, and posting all forms of insurance and patient payments within the billing system, ensuring the integrity of financial data and reimbursement records. The Accounts Receivable (AR) Specialist serves as a critical link between payer remittances and accounts receivable reporting by processing Electronic Remittance Advices (ERAs), Explanation of Benefits (EOBs), electronic funds transfers (EFTs), paper checks, patient payments, and other reimbursement transactions. This role also investigates payer takebacks, payment discrepancies, and posting variances while generating financial and operational reports for management and clients. Essential Duties & Responsibilities Payment Posting & Reconciliation Review and accurately post insurance and patient payments into CollabMD (CMD). Process Electronic Remittance Advices (ERAs), Explanation of Benefits (EOBs), EFT deposits, paper checks, credit card payments, and other reimbursement methods. Ensure all payments, adjustments, contractual write-offs, recoupments, and denials are posted correctly according to payer guidelines. Balance posted payments against daily bank deposits and remittance records. Reconcile discrepancies between payer remittances and deposited funds. Remittance Review & Analysis Analyze payer remittance details to ensure accurate reimbursement. Identify and escalate payment variances, underpayments, overpayments, and posting irregularities. Research and resolve issues involving unapplied payments, missing remittances, and unmatched deposits. Review payer adjustments for accuracy and consistency with contracted reimbursement methodologies. Insurance Takebacks & Recoupments Investigate insurance takebacks, recoupments, and payer recovery requests. Research original claim payments and determine validity of payer adjustment activity. Collaborate with management to resolve payment disputes and identify root causes. Maintain detailed documentation of recoupment investigations and outcomes. Patient Statements & Account Accuracy Configure and verify patient statement settings within the billing system. Review patient balances to ensure accurate statement generation. Monitor statement workflows and identify potential issues impacting patient billing. Assist in maintaining accurate patient account balances through proper payment and adjustment posting. Reporting & Data Management Generate daily, weekly and monthly reports for management and client review. Prepare payment reconciliation reports and deposit summaries. Assist leadership with AR, cash posting, payment trend, and reimbursement reporting. Maintain accurate financial records and supporting documentation for audits and internal reviews. Payer Portal Management Navigate and utilize payer payment platforms including: Echo Health Optum Pay Zelis Availity Change Healthcare Waystar Payer-specific EFT and remittance portals Monitor payer portals for available remittances, payment updates, and reconciliation needs. Ensure timely retrieval and processing of remittance information. Compliance & Quality Assurance Adhere to HIPAA regulations and company policies regarding patient financial information. Maintain a high level of accuracy in all payment posting activities. Participate in process improvement initiatives designed to improve payment posting efficiency and reporting accuracy. Support internal and external audit requests as needed. Qualifications Required High School Diploma or GED required. Minimum 2 years of healthcare payment posting, medical billing, revenue cycle, or related healthcare finance experience. Experience posting ERAs, EOBs, EFTs, and patient payments. Strong understanding of insurance reimbursement methodologies and remittance processing. Experience working within medical billing software platforms. Proficiency with Microsoft Excel and reporting functions. Preferred Experience with CollabMD (CMD). Experience in behavioral health or substance use disorder billing. Familiarity with commercial insurance & Medicaid/managed care reimbursement structures. Experience using payment platforms such as Echo Health, Optum Pay, Zelis, and Availity. Associate's degree in Healthcare Administration, Business, Accounting, or related field. Skills & Competencies Exceptional attention to detail. Strong mathematical and reconciliation skills. Ability to interpret complex remittance data. Knowledge of healthcare reimbursement processes. Proficiency in payer payment systems and portals. Strong time management and prioritization skills. Ability to maintain confidentiality and accuracy in a fast-paced environment. Work Environment On site full-time position. Standard business hours with flexibility as needed to meet operational demands.

Pay:

$20.00 - $22.00 per hour

Benefits:

Dental insurance Health insurance Paid time off Vision insurance

Experience:

Accounts receivable: 2 years (Required) Ability to

Commute:

Port Saint Lucie, FL 34953 (Required)

Work Location:

In person