Medical Accounts Receivable Specialist

About This Role: The Accounts Receivable (AR) Specialist is a high-impact, investigative role designed for a Revenue Cycle Management (RCM) strategist who excels at the critical intersection of problem resolution and financial recovery. At RCS, we don’t just “follow up on claims”—we are the elite recovery unit that deconstructs complex barriers to payment. As an AR Specialist, you are the primary guardian of the bottom line, tasked with identifying, capturing, and resolving payer denials and clearinghouse rejections to ensure that every possible dollar is collected in the fewest days possible. Job Summary: Under the direction of the Accounts Receivable [AR] Team Lead, the AR Specialist is responsible for resolving account balances by following up on all outstanding/denied claims within a timely manner. As an AR Specialist at RCS, you will play a vital role in ensuring the financial health of our clients by managing and resolving outstanding account balances. You will be responsible for following up on claims, investigating and resolving denials, and collaborating with the AR team to optimize revenue collection. This position is fully remote. Flexible hours. Create your own daily 8 hour work days. Must be within operating hours of 7am to 7pm EST. Must currently/previously hold an Accounts Receivable Specialist or Medical Billing Specialist role to be considered. About Revenue Cycle Solutions, LLC (RCS): RCS is a leading provider of revenue cycle management solutions for healthcare organizations. We are committed to delivering exceptional service and innovative solutions that help our clients optimize their revenue cycle processes, improve financial performance, and enhance patient satisfaction. We value our employees and strive to create a positive and supportive work environment where everyone can thrive.

Our Mission

Statement:

• Collect as much as client structure allows
• Collect as quickly as possible
• Complete numbers 1 and 2 as efficiently as possible

Responsibilities:

• Educate and promote RCS’s 3 objectives
• Attend scheduled cadence calls with Team Lead (weekly, bi-weekly, monthly, or quarterly) to review barriers preventing account resolution (client, payer, clearinghouse, etc.)
• Work together as a team to resolve those issues
• Perform all assigned AR functions every 30 days for all assigned accounts
• Follow-up on Claims in-process for specified amount of processing time - EX: Payor informs team members the claim will be in process for 14 days, AR Specialist should follow up in 15 days
• Prepared to provide feedback on Time Inflators and AR issues
• Identify Name Matching issues in Waystar and unmatch as necessary
• Work flagged office EOB denials and Waystar denials for accounts utilizing their own Waystar account
• Waystar front-end rejections
• Correct the rejections that can be corrected
• Add notes to any service-line balance issues for Remits team
• Waystar back-end denials (for applicable accounts)
• Communicate claim issues with Team Lead if unable to resolve
• Submit corrected/clean claims with corrected information when applicable
• Submit appeals as necessary (include all necessary documentation and information)
• Complete audits in a timely manner
• Notify Team Lead of software rule updates
• Identify electronic claim submission opportunities - communicate to Team Lead to add payer ID
• Log PDS daily and accurately
• Other duties as assigned

Expectations:

• Maintain Employee/Management/Client Confidentiality
• Promote and maintainTeam Vitality within and between teams
• Become proficient in all assigned platforms used by RCS as pertains to role
• Provide clear and concise communication

Skills:

• Clearinghouse/Waystar (Front-end and Back-end)
• ERA/EOB
• Claim Appeals & Documentation
• Payer Portals
• Investigation
• Resolution
• Customer Service
• Strong verbal and written communication skills
• Strong presentation skills
• G-Suite

Requirement

• Accounts Receivable or Medical Billing experience: 2 years (Required)
• Are you authorized to work in the United States: (Required)
• Current or most recent role must be an Accounts Receivable Specialist/Medical Biller or similar (Required)
• Experienced with provider specialities: Physical Therapy: 1 year (Preferred), Pain Management: 1 year (Preferred), and Internal Medicine: 1 year (Preferred)

Benefits:

• Health Insurance: Medical, Dental, Vision
• Health Savings Account (HSA)
• 100% Remote Work From Home (US-Based)
• Flexible work hours
• Paid time off (PTO)
• Paid sick leave
• Paid Holidays
• 401(k)
• ZayZoon (Earned Wage Access)
• Remote Workspace Enhancement Program

Join our team as an Accounts Receivable Specialist where your investigative persistence and mastery of complex claim resolution will contribute significantly to securing the financial health of our clients through the strategic recovery of denied revenue and the delivery of actionable data to drive long-term process improvement. Job Type: Full-time Pay: From $20.00 per hour Expected hours: 40 per week Benefits:

• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Are you a U.S. Citizen? (Note: Proof of citizenship, such as a U.S. Passport or U.S. Birth Certificate is required for this role.)
• What is your email address?
• What state do you live in?

Experience:

• Accounts receivable: 3 years (Required)
• Medical billing: 2 years (Required)
• Physical therapy: 2 years (Preferred)
• Pain management: 1 year (Preferred)
• Internal medicine: 1 year (Preferred)

Work Location: Remote Apply To This Job