[Remote] Accounts Receivable Specialist-Medicare, Customer Service Operations

Note: The job is a remote job and is open to candidates in USA. Cardinal Health is a healthcare services and products company, and they are seeking an Accounts Receivable Specialist - Medicare to manage the resolution of insurance claims. This role focuses on ensuring accurate collection of outstanding balances and improving cash flow within the organization.

Responsibilities

• Review aging reports and work insurance accounts to ensure timely resolution and reimbursement
• Contact insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issues
• Analyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions)
• Track and follow up on all submitted appeals until resolution
• Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced payment
• Document all collection activities in the billing system according to departmental procedures
• Follow up on unpaid claims within payer-specific guidelines and timelines
• Coordinate with other billing team members, coders, and providers to resolve claim discrepancies
• Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines
• Ensure compliance with HIPAA and all relevant federal/state billing regulations
• Flag trends or recurring issues for team leads or supervisors
• Meet daily/weekly productivity goals (e.g., number of claims worked, follow-ups completed)
• Assist with special projects, audits, or other duties as assigned

Skills

• 1-3 years of experience
• High School Diploma, GED or equivalent work experience
• Strong knowledge of insurance claim processing and denial management
• Familiarity with Medicare, Medicaid, and managed care
• Proficiency in billing software (e.g. Waystar, Noble House, etc.) and Microsoft Office Suite
• Excellent verbal and written communication skills
• Ability to work independently and manage time effectively
• Detail-oriented with strong analytical and problem-solving skills

Benefits

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

Company Overview

Company H1B Sponsorship