Medical Accounts Receivable Specialist

We are seeking an experienced Medical AR  Specialist. The AR Specialist reports to the Manager, RCM Services and is responsible for managing the timely collection of outstanding patient and insurance balances, ensuring accurate claim submission, payment posting, and resolution of denials. This role supports the revenue cycle team by reducing days in accounts receivable and maximizing reimbursement while maintaining compliance with payer regulations and organizational standards.

Responsibilities:

• Review and analyze aging reports to prioritize collection activities.
• Follow up on unpaid or underpaid claims with payers and patients.
• Research, resolve, and appeal denied or delayed claims in accordance with payer guidelines.
• Post payments and adjustments accurately to patient accounts.
• Communicate with patients regarding outstanding balances, payment plans, and billing inquiries.
• Coordinate with internal teams (billing, coding, clinical staff) to resolve claim issues.
• Ensure compliance with HIPAA and all applicable federal, state, and payer regulations.
• Maintain accurate documentation of collection efforts and account status.
• Prepare reports on AR performance and collection trends for management review.

Skills and Experience needed for success in this role:

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, business, or related field preferred.
• 2+ years of experience in healthcare accounts receivable, billing, or collections.
• Knowledge of medical billing, insurance claim processes, CPT/ICD-10 coding basics, and payer rules.
• Proficiency in practice management systems and Microsoft Office Suite.
• Strong problem-solving, analytical, and organizational skills.
• Excellent communication skills with the ability to interact professionally with patients, payers, and colleagues.
• Detail-oriented and accurate in handling financial data.
• Ability to work independently while managing multiple priorities.
• Customer-service mindset with a focus on resolution and patient satisfaction.
• Strong teamwork and collaboration skills.

Where: Remote, US The EverCommerce team is distributed globally, with teams in the U.S., Canada, the U.K., Jordan, New Zealand, and Australia. With a widely distributed team, we are used to working remotely across different time zones. This role can be based anywhere in the United States. If you’re close to one of our offices, we can set you up in-office or you can work 100% remotely. Please note that you must be eligible to work without sponsorship to qualify for this position, and this role may require travel to our Corporate Headquarters in Denver, Colorado, or to other office locations around North America.