Accounts Receivable Specialist II, Remote

Summary

Logan Regional Medical Center is a full-service community hospital in southern West Virginia. The Accounts Receivable Specialist II independently manages insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, financial documentation, account troubleshooting, and claim resubmissions.

Responsibilities

• Analyze insurance denials and rejections; initiate and process appeals as appropriate
• Troubleshoot account issues, including demographic discrepancies and authorization concerns
• Process and reconcile refund requests and banking deposits
• Review and interpret explanation of benefits (EOBs) for accurate payment posting
• Collaborate with accounting and management to resolve complex account issues
• Maintain accurate documentation and perform claim resubmissions as needed

Skills

• Advanced knowledge of insurance denial management and resolution processes
• Ability to identify trends and report recurring issues
• Proficient in EMR systems and knowledgeable in HIPAA compliance requirements
• Strong analytical, communication, and collaboration skills
• High School Diploma or equivalent required
• Equivalent includes completion of secondary education or demonstrated ability to perform the essential functions of the role
• Minimum of three (3) years of physician billing experience required
• Minimum of three (3) years of experience with Rural Health Clinic (RHC) or Provider-Based Billing preferred

Qualifications

Must Haves

• Advanced knowledge of insurance denial management and resolution processes
• Ability to identify trends and report recurring issues
• Proficient in EMR systems and knowledgeable in HIPAA compliance requirements
• Strong analytical, communication, and collaboration skills
• High School Diploma or equivalent required
• Equivalent includes completion of secondary education or demonstrated ability to perform the essential functions of the role
• Minimum of three (3) years of physician billing experience required

Nice to Haves

• Minimum of three (3) years of experience with Rural Health Clinic (RHC) or Provider-Based Billing preferred

Benefits

• Remote work arrangement