About the Role
We are seeking experienced Accounts Receivable (A/R) Specialists with a strong background in Freestanding Ambulatory Surgery Centers (ASC) to join our growing remote healthcare team. This role is responsible for managing outstanding claims, resolving denials, following up with insurance carriers, and ensuring timely reimbursement across multiple commercial payers.
The ideal candidate has hands-on ASC revenue cycle experience, is comfortable handling high account volumes, and has worked with industry-specific systems such as Advantix, SIS Complete, HST, or Vision.
Key Qualifications
- Minimum 2 years of recent experience in a Freestanding Ambulatory Surgery Center (ASC) environment
- Experience using at least one of the following systems:
- Advantix
- SIS Complete
- HST
- Vision
- Strong experience handling commercial insurance carriers
- Proven ability to manage 40+ actionable accounts dailyIncludes phone calls, payer portal follow-ups, denial actions, and resolution management
- Solid understanding of:
- Claims follow-up
- Denial management
- Appeals processing
- Insurance verification and reimbursement workflows
- Knowledge of EOBs, payer guidelines, and Revenue Cycle Management processes
- Familiarity with HIPAA compliance standards
Key Responsibilities
Accounts Receivable Management
- Monitor and manage outstanding insurance claims and account balances
- Ensure timely follow-up and accurate documentation of account activity
- Maintain productivity and resolution targets
Claims & Denial Resolution
- Investigate denied, rejected, or unpaid claims
- Submit appeals and supporting documentation to payers
- Identify denial trends and recommend corrective actions
Insurance & Payer Follow-Up
- Communicate with insurance carriers via phone and payer portals
- Work all assigned payers per center, including commercial plans
- Escalate unresolved claims as necessary
Payment Posting & Reconciliation
- Review payments and reconcile discrepancies
- Ensure accurate account updates and resolution tracking
Reporting & Aging Management
- Review aging reports and prioritize high-value or at-risk accounts
- Track claim statuses and collection performance metrics
Compliance & Collaboration
- Maintain HIPAA compliance and confidentiality standards
- Collaborate closely with billing, payment posting, and revenue cycle teams
Preferred Qualifications
- Associate’s or Bachelor’s degree in Healthcare, Business, or related field
- Experience with additional ASC or RCM platforms such as ModMed
- Strong analytical, communication, and problem-solving skills
