Accounts Receivable Specialist

7 days ago


Reston, Virginia, United States Altea Healthcare Full time

Job Summary:

The Accounts Receivable Specialist at Altea Healthcare is responsible for optimizing the healthcare revenue cycle in post-acute care settings. This role ensures timely and accurate billing and collection processes while maintaining compliance with healthcare regulations.

Key Responsibilities:

  • Billing and Collections: Manage accounts receivable processes, including billing, follow-up, and collections for patient care services.
  • Claims Management: Submit accurate claims to third-party payers and follow up on unpaid or denied claims.
  • Revenue Tracking: Reconcile accounts, process payments, and manage adjustments to ensure timely and accurate posting of payments.
  • Patient Account Management: Resolve patient inquiries regarding billing and account status, ensuring a high level of customer service.
  • Compliance: Ensure adherence to all applicable laws, regulations, and policies governing healthcare revenue cycle management.
  • Reporting: Prepare and present financial reports on accounts receivable metrics, collection trends, and cash flow projections to management.
  • Coordination with Other Departments: Collaborate with the clinical and administrative teams to resolve billing discrepancies and optimize revenue cycle workflows.
  • Denial Management: Proactively address and resolve payer denials, underpayments, and other claims-related issues in a timely manner.

Qualifications:

  • Education: High school diploma or equivalent; Associate's degree in accounting, finance, or healthcare administration preferred.
  • Experience: Minimum of 2-3 years of experience in accounts receivable, billing, or revenue cycle management, ideally in the healthcare or post-acute care setting.
  • Knowledge: Familiarity with Medicare, Medicaid, and private insurance billing; understanding of healthcare regulations and the unique revenue cycle needs of post-acute care.
  • Technical Skills: Proficiency in healthcare billing software, electronic health record (EHR) systems, and Microsoft Office Suite (Excel, Word).
  • Communication Skills: Strong interpersonal and communication skills to collaborate with patients, payers, and internal teams.
  • Problem-Solving: Ability to analyze and resolve issues related to billing, claims processing, and accounts reconciliation.
  • Attention to Detail: High degree of accuracy in managing financial records and processing claims

Preferred Qualifications:

  • Experience working with all payors.
  • Previous experience in the post-acute or skilled nursing care sector preferred.


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