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TriValley Primary Care
Medical Accounts Receivable Specialist
Career Insights for Accounts Payable / Receivable Clerk
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Based on Pennsylvania data
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What they do
An Accounts Payable or Receivable Clerk keeps records of accounts and financial transactions, with specific responsibility for Accounts Payable/Receivable. Works for a business or bookkeeping service. Provides information for financial and tax reports completed by an accountant.
$47,502 / year median in Pennsylvania
-14% projected decline
Job Description
Job Overview We are seeking a dynamic and detail-oriented Medical Accounts Receivable Specialist to join our healthcare finance team. In this vital role, you will be responsible for managing the collection of outstanding medical claims, ensuring accurate billing processes, and maintaining positive relationships with insurance companies and patients. Your expertise will help optimize revenue cycle management, reduce accounts receivable days, and support the overall financial health of our healthcare organization. If you thrive in a fast-paced environment and have a passion for healthcare billing and coding, this is the perfect opportunity to make a meaningful impact. Duties Review and analyze medical claims to identify discrepancies or denials related to CPT (Current Procedural Terminology) Coding or ICD-10 Coding issues. Follow up on unpaid or partially paid claims by contacting insurance companies and patients via phone or electronic communication to resolve issues promptly. Ensure accurate data entry into EHR (Electronic Health Records) systems, maintaining precise medical records and billing information. Monitor aging accounts receivable reports regularly to prioritize collection efforts and reduce outstanding balances. Prepare detailed reports on collection activities, claim status updates, and revenue cycle performance metrics using Microsoft Office tools. Stay current with healthcare claims management regulations, health insurance policies, and updates in medical coding standards to ensure compliance. Requirements Proven experience in medical billing, medical coding (including CPT coding, ICD-10), or accounts receivable within a healthcare setting. Strong knowledge of health insurance processes, healthcare claims management, and medical terminology. Familiarity with billing software, EMR/EHR systems, and Microsoft Office applications for documentation and reporting purposes. Excellent customer service skills with the ability to communicate effectively with insurance representatives and patients. Knowledge of medical records management and familiarity with healthcare compliance standards is highly desirable. Detail-oriented with strong organizational skills to manage multiple accounts efficiently. Ability to follow a task through to completion. Hours are 8am - 4pm, Monday through Friday. This is an in-person position; remote work is not available. TriValley is an equal opportunity employer