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High-Volume Accounts Receivable Specialist

oshi health·US·United States·mid
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Accounts Receivable Specialist Reports To: Lead Revenue Cycle Locations Hiring From: Arizona, Delaware, Florida, Georgia, Idaho, Indiana, Louisiana, Minnesota, Missouri, New Hampshire, North Carolina, Pennsylvania, South Carolina, Tennessee, Texas, Vermont, Virginia ONLY. Must currently reside and plan on residing in the entire employment. Schedule: Monday- Friday 9-6pm EST Employment Type: Full-Time Role Overview As an Account Receivable Specialist, you will be responsible for managing insurance accounts receivable and ensuring accurate, timely posting and reconciliation of payments. This role focuses on maximizing reimbursement through proactive claim follow-up, denial resolution, payment investigation, and cash reconciliation. You will work closely with our Revenue Cycle leads, other members of the Revenue Cycle team, finance, and clinical teams to resolve payment discrepancies, improve AR performance, and maintain accurate financial records. This role also supports reporting and identifies trends to improve revenue cycle processes and overall financial performance. Your attention to detail, excellent organizational skills, and commitment to customer access will contribute to the financial stability and success of Oshi as we pioneer the way in GI care. What You'll Do: Key Responsibilities Manage assigned insurance accounts receivable to ensure timely reimbursement and reduce aging balances. Follow up with insurance payers on outstanding claims, underpayments, denials, and payment discrepancies. Investigate and resolve claim denials by submitting corrected claims, appeals, reconsiderations, and supporting documentation in accordance with payer requirements. Review claim edits and rejections to ensure accurate resubmission and minimize future denials. Accurately post insurance payments, adjustments, and remittances into the billing system. Perform daily payment reconciliation by ensuring posted payments align with electronic remittance advice (ERA), explanation of