Accounts Receivable Clerk

At Claremedica, exceptional is the standard.

Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the Claremedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives.

That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At Claremedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities.

Opportunity awaits – welcome to Claremedica.

ESSENTIAL FUNCTIONS

The Medical Insurance Collector/ Accounts Receivable Specialist – is responsible for managing and resolving aged accounts receivable in a healthcare setting. This role involves analyzing aging reports, following up on unpaid claims, and ensuring timely collections from insurance companies and patients. The specialist plays a critical role in maintaining the financial health of the organization by reducing outstanding balances and improving cash flow.

DUTIES AND RESPONSIBILITIES

· Review and analyze aging reports to identify and prioritize overdue accounts. Aging A-R Reports provide by quarters and the priority (about to reach 120) Categorize A/R by age (e.g., 0-30 days, 31-60 days, 61-90 days, etc.).

· Follow up with insurance companies and patients on outstanding claims and balances.

· Resolve billing discrepancies and denials by coordinating with insurance providers and internal departments.

· Prepare and submit corrected claims or appeals as necessary.

· Document all collection activities and communications in the billing system. Maintain accurate records of all collection activities and communications.

· Collaborate with the billing team to streamline processes and improve efficiency.

· Ensure compliance with all federal and state regulations, including HIPAA.

· Generate reports on collection activities and outcomes for management review.

· Collaborate with other departments to ensure accurate billing and collections

· End of Month Reconciliation (Practice & Finance

SUPERVISORY RESPONSIBILITIES

• This position [does] has supervisory responsibilities.

WORKING CONDITIONS

General office working conditions.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. 

While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and or move up to 15 pounds. S