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Accounts Receivable Specialist
Accounts Receivable SpecialistExclusively Remote • WorkFromHome, Mpumalanga, South Africa
Accounts Receivable Specialist

Accounts Receivable Specialist

Exclusively Remote • WorkFromHome, Mpumalanga, South Africa
1 day ago
Job description

Accounts Receivable Specialist (Healthcare Industry)

We are seeking a detail-oriented and experienced Accounts Receivable Specialist to join our healthcare finance team. The ideal candidate will have a strong background in managing medical billing, patient accounts, and insurance claims, with proven expertise using QuickBooks . This role requires excellent communication skills, accuracy, and a commitment to maintaining patient confidentiality and compliance with healthcare regulations.

Working hours : 3pm to 11pm (SA time to accommodate our USA business hours)

Key Responsibilities :

  • Billing and Invoicing :

Generate accurate invoices for patient services, insurance claims, and third‑party billing.

  • Verify patient information, insurance details, and coding accuracy before invoicing.
  • Payment Processing :
  • Record and reconcile payments from patients, insurance companies, and other payers in QuickBooks.

  • Apply payments to patient accounts and update records accordingly.
  • Claims Management :
  • Track insurance claim submissions, payments, and denials.

  • Follow up on outstanding insurance claims and appeal denials as needed.
  • Account Reconciliation :
  • Reconcile accounts receivable ledger to ensure all payments are accounted for and properly posted.

  • Investigate and resolve discrepancies and billing errors.
  • Patient Account Management :
  • Respond to patient and insurance inquiries related to billing and account status.

  • Assist with setting up payment plans and managing outstanding balances.
  • Financial Reporting :
  • Prepare and distribute aging reports and other accounts receivable reports.

  • Monitor and report on key performance indicators related to collections and revenue.
  • Compliance and Confidentiality :
  • Adhere to HIPAA regulations and company policies regarding patient information.

  • Ensure all documentation meets healthcare compliance standards.
  • Qualifications :

  • Education : Diploma or degree in Accounting, Finance, Healthcare Administration, or a related field. Experience :
  • Minimum of 2-3 years of experience in healthcare accounts receivable or medical billing.

  • Hands‑on experience with QuickBooks and healthcare billing software (e.g., Epic, Cerner, Medisoft).
  • Skills :
  • Strong knowledge of healthcare billing procedures, insurance claim processing, and patient account management.

  • Excellent attention to detail and accuracy.
  • Strong analytical and problem‑solving abilities.
  • Effective communication and customer service skills.
  • Proficiency in Microsoft Excel and other Office applications.
  • Certifications : Certification in medical billing and coding is preferred (e.g., CPC, CPB).
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    Account Specialist • WorkFromHome, Mpumalanga, South Africa

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