Accounts Receivable Specialist

2 weeks ago

Port Elizabeth, Eastern Cape, South Africa Exclusively Remote Full time R250 000 - R500 000 per year


Accounts Receivable Specialist (Healthcare Industry)

We are seeking a detail-oriented and experienced Accounts Receivable Specialist to join our healthcare finance team. The ideal candidate will have a strong background in managing medical billing, patient accounts, and insurance claims, with proven expertise using QuickBooks. This role requires excellent communication skills, accuracy, and a commitment to maintaining patient confidentiality and compliance with healthcare regulations.

Working hours : 3pm to 11pm (SA time to accommodate our USA business hours)

Key Responsibilities:
  • Billing and Invoicing:
    • Generate accurate invoices for patient services, insurance claims, and third-party billing.
    • Verify patient information, insurance details, and coding accuracy before invoicing.
  • Payment Processing:
    • Record and reconcile payments from patients, insurance companies, and other payers in QuickBooks.
    • Apply payments to patient accounts and update records accordingly.
  • Claims Management:
    • Track insurance claim submissions, payments, and denials.
    • Follow up on outstanding insurance claims and appeal denials as needed.
  • Account Reconciliation:
    • Reconcile accounts receivable ledger to ensure all payments are accounted for and properly posted.
    • Investigate and resolve discrepancies and billing errors.
  • Patient Account Management:
    • Respond to patient and insurance inquiries related to billing and account status.
    • Assist with setting up payment plans and managing outstanding balances.
  • Financial Reporting:
    • Prepare and distribute aging reports and other accounts receivable reports.
    • Monitor and report on key performance indicators related to collections and revenue.
  • Compliance and Confidentiality:
    • Adhere to HIPAA regulations and company policies regarding patient information.
    • Ensure all documentation meets healthcare compliance standards.
Qualifications:
  • Education: Diploma or degree in Accounting, Finance, Healthcare Administration, or a related field.Experience:
    • Minimum of 2-3 years of experience in healthcare accounts receivable or medical billing.
    • Hands-on experience with QuickBooks and healthcare billing software (e.g., Epic, Cerner, Medisoft).
  • Skills:
    • Strong knowledge of healthcare billing procedures, insurance claim processing, and patient account management.
    • Excellent attention to detail and accuracy.
    • Strong analytical and problem-solving abilities.
    • Effective communication and customer service skills.
    • Proficiency in Microsoft Excel and other Office applications.
  • Certifications: Certification in medical billing and coding is preferred (e.g., CPC, CPB).

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