Accounts Receivable Associate

Essential Job Duties

Roles & Responsibilities

• Conduct all aspects of insurance follow-up and collections, including account resolution, payer communications, and utilization of payer portals and systems to ensure accounts are progressing appropriately
• Work assigned accounts to resolution, including basic denials and appeals 
• Manage a portfolio of accounts under guidance
• Ensure compliance with payer regulations, company policies, and applicable healthcare laws
• Partner cross-functionally with internal teams and external stakeholders to optimize revenue cycle performance
• Follow departmental best practices and processes 
• Identify and document denial reasons 
• Maintain accurate and detailed account notes 
• Meet daily productivity and quality expectations 
• Escalate complex or unresolved issues to Senior Associates or Team Leads 

Key Performance Indicators (KPIs)

• Maintain or exceed A/R resolution targets (e.g., accounts worked and resolved within established timelines).
• Meet or exceed productivity benchmarks (e.g., accounts worked per day/week based on complexity).
• Demonstrate quality and accuracy standards, minimizing rework and errors in account handling.

Experience & Requirements

• High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred
• 0-2 years of experience in physician collections, A/R follow-up, and denial management
• Proficiency in Microsoft Office applications (Excel, Word, Outlook); experience with reporting and data analysis tools preferred
• Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment
• Strong communication and interpersonal skills

Additional Qualifications

• In-depth knowledge of HIPAA regulations and healthcare privacy laws; maintains strict compliance at all times.
• Exceptional attention to detail and organizational skills.
• Ability to work independently while contributing to a team-oriented environment
• Demonstrated problem-solving skills with a proactive and solution-driven approach