[Hiring] Accounts Receivable Specialist REMOTE USA

Position: Accounts Receivable Specialist

Date Posted: November 23, 2025

Industry: Healthcare / Finance

Employment Type: Full Time

Experience: 3+ years in Accounts Receivable

Qualification: High School Diploma or GED

Location: Austin, TX, United States REMOTE

Company: CommUnityCare Health Centers

Description:
CommUnityCare Health Centers is seeking an experienced Accounts Receivable Specialist to join our Revenue Cycle Management (RCM) team remotely. This role is focused on following up, investigating, and resolving outstanding insurance claims while maintaining detailed records of claim status and actions taken.

Key Responsibilities:

• Contact insurance carriers daily to follow up on past-due claims, denials, or benefit changes.
• Maintain accurate aging of assigned accounts and perform AR analysis and follow-up.
• Stay informed about billing and medical policies for all payers.
• Understand and navigate In-Network and Out-of-Network reimbursement processes.
• Prepare and follow up on appeals for denied or incorrectly paid claims.
• Resolve complex denials and tasks from the payment posting team, including refund requests, disputes, and appeals.
• Collaborate across RCM departments to resolve claims payment issues.
• Ensure compliance with company policies, procedures, and organizational mission and values.
• Work with AR Supervisor to review and resolve open accounts.
• Perform additional duties as assigned.

Knowledge, Skills, and Abilities:

• Strong relationship-building and customer service skills.
• Proficient in computer-based data entry, research, and information retrieval.
• High attention to detail, accuracy, and ability to multitask.
• Excellent problem-solving capabilities.
• Professionalism in interactions with staff, payers, patients, and families.
• Leadership by example, ensuring services comply with regulations and organizational standards.
• Ethical behavior aligned with CommUnityCare’s mission and values.
• Ability to identify issues promptly and report to supervisor.
• Reliable attendance and effective workload management.
• Skilled in monitoring claims processing operations.

Qualifications:

• Minimum 3 years managing Accounts Receivable with direct payer follow-up.
• At least 1 year communicating effectively with insurance payers and internal teams.
• 3 years working knowledge of medical terminology, ICD10, CPT, HCPCS coding, and HIPAA requirements.
• 2 years of experience in data processing, Excel, Microsoft Office, medical practice management software, and electronic medical records.
• 3 years working with commercial, government, and state insurance payers and understanding their reimbursement policies.
• 3 years handling complex insurance issues, including assigning correct payers, EOB adjustments, and refunds.

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