Accounts Receivable Specialist (Healthcare Revenue Cycle)

Location: Remote nationwide within the United States; travel to and work onsite at client, temporary, or corporate offices may be required as business needs require.

Salary: $16.50–$18.65 per hour, based on experience.

Company

hirify.global provides technology-enabled revenue cycle management and revenue cycle solutions for hospitals, health systems, and affiliated physician groups.

What you will do

• Review denied and unpaid healthcare claims to identify discrepancies and payment issues.
• Communicate with commercial, governmental, and other payers regarding outstanding claims.
• Prepare and submit technical and clinical appeals and resolve payment variances.
• Analyze underpayments, denials, and payment delays, identifying trends and root causes.
• Apply federal, state, and payer-specific requirements to claim resolution.
• Document claim activity and communicate recommendations and issues to management.

Requirements

• Basic computer knowledge and proficiency in Microsoft Excel.
• Excellent verbal communication, problem-solving, and critical-thinking skills.
• Ability to create action plans for account collection and meet quality, productivity, and attendance standards.
• Ability to adapt to changing procedures and use AI and other emerging technology to improve processes.
• Ability to travel to and work onsite at client, temporary, or corporate offices when required.

Nice to have

• Two- or four-year college degree.
• At least one year of relevant experience in medical collections, hospital or physician operations, accounts receivable follow-up, denials and appeals, compliance, provider relations, or professional billing.
• Knowledge of claims review, revenue cycle management, medical terminology, and insurance claim terminology.
• Experience with the DDE Medicare system and payer websites.

Culture & Benefits

• Remote work with nationwide coverage and business-required onsite work when applicable.
• Healthcare, paid time off, retirement, and well-being benefits.
• Paid professional certification and tuition reimbursement.
• Bonus and quarterly or annual incentive programs.
• Culture focused on collaboration, growth, innovation, work-life flexibility, and purpose.