Accounts Receivable Specialist

Description

Huntsville Oral Surgery and Dental Implants is seeking a detail-oriented and results-driven Accounts Receivable Specialist to manage our insurance accounts receivable process. 

This role is responsible for the timely and accurate submission of insurance claims, proactive follow-up on unpaid or denied claims, and resolution of billing discrepancies. The ideal candidate will play a key role in achieving and exceeding collection targets and reducing aging receivables, in alignment with goals set by the Revenue Cycle Management (RCM) team.

Key Responsibilities

• Investigate, appeal, and resolve denied or rejected claims by collaborating with insurance payors to ensure appropriate reimbursement.
• Review Explanations of Benefits (EOBs) to identify and analyze claim-level issues.
• Identify root causes of billing and submission errors to prevent repeat occurrences.
• Correct and resubmit claims in accordance with standardized procedures.
• Follow up on unresolved claims using clearinghouses, payer portals, or direct communication with payors.
• Determine when appeals are necessary, submit them promptly, and track progress through resolution.
• Monitor denial trends and report recurring issues to RCM leadership for analysis and improvement.
• Communicate clearly and professionally with internal teams, payors, and patients regarding claim status and billing issues.
• Stay informed on industry regulations, insurance policies, and best practices related to denial management and billing compliance.
• Participate in special projects or additional duties as assigned by management.
• Consistently meet or exceed daily productivity standards and departmental KPIs.
• Contribute to meeting team goals related to net collection rates and successful claim resolutions. 

Requirements

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare, business, or related field preferred.
• Minimum of 2 years’ experience in healthcare billing and insurance accounts receivable.
• Solid understanding of healthcare reimbursement, insurance claims processes, and billing best practices.
• Proficiency in EHR systems and medical billing software.
• Experience with dental billing is a plus.
• Strong computer skills, including working knowledge of Excel and billing workflows.
• Experience supporting 100+ providers in a healthcare business office environment preferred.
• Excellent attention to detail, problem-solving abilities, and organizational skills.
• Strong written and verbal communication skills.
• Ability to manage multiple priorities and work independently.
• Understanding of HIPAA and healthcare compliance regulations.

Benefits

• Medical, dental, and vision insurance
• Life Insurance and Short-Term and Long-Term Disability Coverage
• Paid Time Off (PTO)
• 401(k) with employer match