应收账款专员
Accounts Receivable Specialist
作为我们的账户领取专家，你将拥有申请提交后的追踪情况。追逐支付，解决拒绝和弥补提供医疗保健与收款现金之间的差距。你将密切地与我们的 RCM 和索赔平台 (Candid),我们的计划/EMR 系统以及我们发票领导力合作，以保持领取资金的移动而不是老化。这是一个实践性，高影响力的公司中收费速度和准确度直接决定了我们能增长多快。·管理分配的保险账户，从提交到最终解决后工作索赔以保持老龄化余额。·跟踪付款人未偿还索赔，欠款和支付差异，并推动他们关闭。·调查和解决拒绝索赔和拒绝索引 纠正索赔，上诉和重新考虑与付款人的文件要求。·审查申请编辑和拒绝之前和提交之后减少重复拒绝，合作我们的 RCM 团队在根源原因。·发布和调整保险支付，调整和汇款准确地及按计划。· 调查和解决未应用于现金，过度付款和欠款的情况。·跟踪并报告 AR 老化，拒绝趋势以及支付发布准确性，直接入我们的每周 RCM 闪电报道。·专业地回答患者关于索赔，余额和发票的问题，并向正确的所有者升级付款人或系统问题。·标记反复退款或流程问题，建议修复减少拒绝和加快收费。什么是成功看起来像 ·提取现金率可测量地朝着我们公司目标上升 ·你书中的拒绝得到解决而不是老化的要求更少超过及时提交申请截止日期。· 支付报表是准确的和最新的，因此 RCM 报告反映了现实而不是后期。·你发现的模式 （一个付款人，代码，工作流程差距）转化为过程修复，而不仅仅是一次性节省。你带来什么需要 · 3年以上医疗保健收入周期经验，专注于应收账户，支付报价或保险费用。· 医疗计票，保险索赔处理和偿还款方面的实操了解。·解决索赔拒绝，欠款和支付分歧的经验。· 发布信息的经验 p
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Accounts Receivable Specialist
Full-time · Reports to RCM Manager · Remote
Role Overview
As our Accounts Receivable Specialist, you'll own the follow-through on claims after they're submitted — chasing down payment, resolving denials, and closing the gap between care delivered and cash collected. You'll work closely with our RCM and claims platform (Candid), our scheduling/EMR system, and our billing leadership to keep receivables moving instead of aging. This is a hands-on, high-impact role at a company where collection speed and accuracy directly determine how fast we can grow.
What You'll Own
- Manage an assigned book of insurance accounts receivable, working claims from submission through final resolution to keep aging balances down.
- Follow up with payers on outstanding claims, underpayments, and payment discrepancies, and drive them to close.
- Investigate and resolve claim denials and rejections — corrected claims, appeals, and reconsiderations with the documentation payers require.
- Review claim edits and rejections before and after submission to reduce repeat denials, partnering with our RCM team on root causes.
- Post and reconcile insurance payments, adjustments, and remittances accurately and on schedule.
- Research and resolve unapplied cash, overpayments, and underpayments against contracted reimbursement rates.
- Track and report on AR aging, denial trends, and payment posting accuracy, feeding directly into our weekly RCM flash report.
- Respond professionally to patient questions about claims, balances, and billing, and escalate payer or system issues to the right owner.
- Flag recurring reimbursement or process issues and recommend fixes that reduce denials and speed up collection.
What Success Looks Like
- Cash collection rate climbs measurably toward our company target
- Denials in your book get resolved rather than aged out — fewer claims sit past timely filing deadlines.
- Payment posting is accurate and current, so RCM reporting reflects reality rather than a backlog.
- Patterns you catch (a payer, a code, a workflow gap) turn into process fixes, not just one-off saves.
What You'll Bring
Required
- 3+ years of healthcare revenue cycle experience with a focus on accounts receivable, payment posting, or insurance billing.
- Working knowledge of medical billing, insurance claims processing, and payer reimbursement.
- Experience resolving claim denials, underpayments, and payment discrepancies.
- Experience posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash.
- Comfort working remotely and managing your own priorities and queue.
- Strong attention to detail and organizational skills — this role is the difference between revenue earned and revenue collected.
Preferred
- Experience in a startup or high-growth healthcare or telehealth organization.
- Familiarity with Candid, Availity, or similar claims and payer-connectivity platforms.
- Women's health, maternal health, or lactation coding experience.
- CRCR, CPB, CPC, or other healthcare revenue cycle certification.
Compensation & Benefits
- Salary range: $55,000–$70,000 plus bonus eligibility (placeholder — confirm against current bands).
- Unlimited PTO plus company holidays.
- 401(k) eligibility.
- Remote-first, with the flexibility that comes with it.
How We Work
This role sits inside our RCM and collections function and works closely across operations, finance, clinical, and product teams. Expect a fast pace, direct feedback, and a team that would rather fix the root cause of a denial than resubmit and hope.
About SimpliFed
SimpliFed gives parents the tools they need to navigate baby feeding questions, concerns, and obstacles, starting in pregnancy and through the feeding journey. Our platform, mOS, connects families to licensed lactation and maternal health providers through partnerships with DME suppliers, health systems, and OB practices. We're a Series A company growing fast, and our operational and revenue infrastructure needs to grow with us.
About You
- Aligned with SimpliFed’s mission.
- Hankering to put the relationships back in medicine
- A posture towards execution - a true operator willing to both develop the strategy and execute it.
- Ability to work remotely and communicate asynchronously via slack and email, along with thriving in virtual meetings.
- Does not suffer in silence: willingness to give it a shot but then reach out for help as needed and not waiting too long.
- Leans into items they are uncomfortable with, not avoid it.
- Defers to safe and secure security protocols always to protect SimpliFed’s patients and providers.
- High personal integrity to always do the right thing for the families that we are honored to serve.
- Respect and high tolerance for bureaucracy, along with an optimistic perspective on how to operate within the bureaucratic “rules” and the healthcare regulatory environment.
- Ability to work in a fast paced, team environment.
- Have a valid Drivers License and REAL ID
- Applicants must be currently authorized to work in the United States on a full-time basis
Originally posted on Himalayas