[Hiring] Accounts Receivable Specialist @CU Medicine

Role Description

We are seeking a highly motivated Accounts Receivable Specialist to join our Accounts Receivable Resolution (ARR) team. This job can be performed 100% remotely, and out of state candidates will be considered.

The Accounts Receivable Specialist will be responsible for:

• Coordinating third-party account receivable activities to ensure timely resolution and recovery of outstanding balances for assigned departments or projects.
• Functioning with a high level of independence and expertise in insurance follow-up, denial management, payer dispute resolution, and account investigation.
• Identifying denial trends, payer issues, and workflow opportunities to improve reimbursement outcomes.
• Maintaining accountability for the AR performance of assigned work queues and working collaboratively with team and leadership to achieve resolution.

Essential Duties:

• Meet established productivity and quality standards.
• Review, investigate, and resolve outstanding accounts through assigned work queues, reports, and other available resources.
• Follow up on unpaid, denied, underpaid, or incorrectly processed insurance claims to secure appropriate reimbursement.
• Review Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and payer correspondence to determine appropriate action.
• Prepare and submit reconsiderations, disputes, and appeals, including the collection and review of supporting documentation when claim determinations are not appropriate.
• Obtain claim, payment, and denial status information through payer portals, telephone contact, email, fax, and written correspondence.
• Collaborate with insurance carriers, providers, and internal departments to resolve claim and reimbursement issues.
• Identify denial trends, reimbursement barriers, and payer processing issues and communicate findings to leadership as appropriate.
• Maintain thorough and accurate documentation of account activity in accordance with departmental standards.
• Prioritize and manage a high-volume workload while ensuring timely and accurate account resolution.
• Provide professional and responsive customer service when interacting with insurance carriers, patients, providers, and internal stakeholders.

Qualifications

• Previous experience in medical billing, accounts receivable, insurance follow-up, or denial management experience.
• Working knowledge of healthcare reimbursement methodologies, payer guidelines, and insurance billing practices.
• Ability to interpret Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and payer correspondence.
• Familiarity with CPT, HCPCS, and ICD-10 coding concepts sufficient to support denial research and claim resolution.
• Knowledge of claim appeals, reconsiderations, and dispute processes.
• Intermediate proficiency in Microsoft Office applications and payer portal navigation.
• Strong analytical, organizational, and problem-solving skills.
• Excellent verbal and written communication skills.
• Demonstrated attention to detail and ability to manage a high-volume workload with accuracy and efficiency.
• Ability to work independently and effectively prioritize competing deadlines.

Requirements

• All applications MUST be submitted via our website.
• In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation.
• You will not be penalized for redacting or removing this information.

Benefits

• CU Medicine provides generous leave, health plans, and retirement contributions which take your total compensation beyond the number on your paycheck.
• Find information about our benefits here .