Accounts Receivable SpecialistAccounts Receivable Specialist

Key Achievements:

Managed a portfolio of outstanding healthcare accounts, ensuring timely follow-up and resolution of unpaid insurance and patient balances. Conducted insurance follow-up on pending, denied, and rejected claims, resulting in faster reimbursement and reduced aging accounts. Investigated and resolved billing discrepancies, payment variances, and claim denials by coordinating with insurance providers and internal departments. Reviewed Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) to reconcile payments, identify underpayments, and ensure accurate account adjustments. Processed payment postings, contractual adjustments, write-offs, and account reconciliations while maintaining high levels of accuracy. Prioritized high-value and aging accounts using AR reports to improve collection rates and support healthy cash flow. Maintained detailed documentation of customer interactions, claim status updates, payment activities, and follow-up actions within the billing system. Collaborated with billing, coding, customer service, and clinical teams to resolve complex account issues and ensure timely claim resolution. Assisted patients and insurance representatives with billing inquiries, account clarifications, payment arrangements, and account resolution while delivering excellent customer service. Contributed to continuous process improvement by identifying recurring claim issues, recommending corrective actions, and supporting initiatives to reduce denials and improve overall revenue cycle performance.

Key Achievements:

Served as the primary point of contact for customer inquiries, managing service requests and coordinating resolutions through email, CRM systems, and internal communication channels. Handled high volumes of customer interactions while maintaining accurate records, timely follow-up, and adherence to service procedures. Investigated customer concerns, identified root causes, and coordinated with internal teams to facilitate issue resolution. Maintained detailed records of customer interactions, action items, escalations, and resolutions to ensure continuity of service. Monitored escalated cases through completion, ensuring customers remained informed and satisfied throughout the resolution process. Supported service improvement initiatives by identifying recurring issues and sharing insights with internal stakeholders.