Accounts Receivable Specialist

Title: Accounts Receivable Specialist Practice : Oral Surgery Partners Location : Remote Office Hours : Central Time Zone Monday - Thursday 8:00am - 5:00pm Friday 8:00am - 2:00pm Position Purpose: The Accounts Receivable Specialist is responsible for managing the full cycle of accounts receivable processes to ensure accurate and timely collection of payments. This role oversees the invoicing of clients, reconciliation of accounts, payment posting, and resolution of billing discrepancies. The specialist communicates regularly with internal teams and external customers to address outstanding balances, verify account information, and support efficient cash flow operations.

A strong attention to detail, excellent organizational skills, and the ability to work in a deadline-driven environment are essential for success in this position. Essential Functions: Customer Service Communication Answer incoming phone calls and respond to insurance and patient balance inquiries in a professional and timely manner. Communicate with patients, insurance carriers, and internal team members to resolve billing issues and clarify account details.

Write clear and accurate narratives when insurance carriers request additional information. Claims Processing Follow-Up Process insurance claim denials and resubmit claims with the necessary supporting documentation. Maintain timely resolution of all open claims reflected on the monthly aged trial balance report.

Retrieve clearing house reports daily, identify rejected claims, and resubmit them as needed. Attach all required documentation—including X-rays, narratives, and anesthesia records—prior to claim submission. Review subscriber and patient information for accuracy prior to claim submission.

Accounts Receivable Management Monitor and manage the full accounts receivable cycle to ensure timely follow-up on outstanding balances. Research and investigate reimbursement discrepancies, including out-of-network and contractual issues. Analyze accounts for recurring denial trends or underpayments and escalate findings to management.

Payment Posting Reconciliation Post insurance and patient payments accurately, both manually and electronically. Reconcile daily, weekly, and monthly financial transactions, including payment batches and adjustments. Process patient refunds and generate monthly patient statements.

Documentation Compliance Maintain accurate and organized documentation for all claims, payments, corrections, and correspondence. Ensure compliance with HIPAA and all applicable billing and insurance regulations. Reporting Month-End Support Support month-end closing processes by assisting with AR reporting, aging review, and financial summaries.

Collaboration Process Improvement Collaborate with clinical and administrative teams to verify coding, documentation, and insurance details to reduce claim rejections. Participate in process improvement efforts to streamline workflows and enhance reimbursement efficiency. Additional

Responsibilities

Perform other duties as assigned.

Qualifications

: Education: High school diploma or GED required, associate or bachelor’s degree in accounting, finance, business administration, or a related field preferred. Experience: 1–3 years of experience in accounts receivable, medical billing, insurance claims processing, or a similar office/finance role. 1-3 years of previous dental, medical or oral surgery experience strongly preferred.

Experience working with insurance payers, claim submission processes, and reimbursement guidelines are strongly preferred. Familiarity with electronic health records (EHR), practice management systems, or billing software ( WINOMS) Required . Dental or medical billing experience (if relevant to your setting) is a plus.

Performance

Requirements

: Strong knowledge of accounts receivable practices, payment posting, aging reports, and denial management. Understanding of CPT, CDT, ICD-10 codes, and insurance terminology (if medical/dental setting).