Senior Accounts Receivable Specialist- RCM Medical Billing Experience

Responsible for researching and resolving outstanding balances by following up on claim status, working denials, and filing appeals.

Responsibilities

• Conduct root cause analysis of revenue cycle issues and implement process improvements to optimize collections and reduce denials 

• Analyze denial patterns and trends across client portfolios to develop preventive strategies and enhance revenue capture 

• Manage complex accounts receivable workflows, prioritizing high-dollar and aged claims to maintain target collection goals 

• Execute strategic follow-up campaigns on aged receivables, including appeals and escalation processes for delayed or denied claims 

• Serve as a subject matter expert on payer requirements and regulatory updates, providing guidance to team members on complex billing scenarios 

• Drive process standardization and best practices across client accounts while ensuring compliance with federal and state billing regulations 

Qualifications
Required

• High school diploma or GED

• At least 3 years of medical billing experience 

• Advanced Microsoft Excel skills including vlookups, pivot tables, and spreadsheet management 

• Strong analytical and problem-solving skills  

• Excellent verbal and written communication skills  

• Demonstrated ability to meet productivity metrics  

• Experience with or willingness to learn automation tools and AI-powered revenue cycle management systems 

Preferred

• Knowledge of medical billing specifically in behavioral, homecare, or long-term care insurance. 

• Collections experience in a healthcare setting

• Working knowledge of medical billing systems such as Medic, IDX, Avatar, Tier, Medical Manager

Expectations

• Comfortable with remote work arrangements and virtual collaboration tools  

• Physical demands include extended periods of sitting, computer use, and telephone communication 

Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.

Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider.

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