Billing / Accounts Receivable Specialist

Infinit-O is the trusted, customer-centric, and sustainable leader in Business Process Optimization. We empower finance and healthcare organizations to thrive in a digital-first world by combining specialized industry expertise and innovative technology for 20 years. We navigate complex industry landscapes to drive transformative outcomes, helping businesses streamline operations, enhance customer experience, and achieve sustainable growth backed by a world-class Net Promoter Score of 75. Our approach combines operational efficiency with a human-centered ethos, ensuring sustainable value creation for our clients and team members. As a Certified B Corporation, Infinit-O is committed to the highest standards of social and environmental performance, accountability, and transparency. We embed these values into every aspect of our operations—aligning business success with a positive impact on our clients, people, and communities. Our commitment to Diversity, Equity, and Inclusion (DEI) is integral to our mission. We believe that building inclusive, equitable teams is not only the right thing to do—it is also essential for driving innovation and better business outcomes. We actively promote equal opportunity through inclusive hiring practices, continuous learning programs, and regular equity assessments to ensure a fair and empowering workplace for all. Position Summary The Billing / Accounts Receivable Specialist is responsible for managing assigned accounts throughout the revenue cycle to support accurate claim submission, timely reimbursement, and resolution of outstanding balances. This role requires proactive follow-up with insurance payers, identification and correction of billing issues, denial resolution, payment review, and clear documentation of all account activity. The ideal candidate is detail-oriented, accountable, productive, and able to independently investigate unpaid or underpaid claims while knowing when to escalate issues or request support. Essential Duties and Responsibilities ● Review assigned accounts receivable work queues, aging reports, and outstanding claims. ● Follow up with insurance payers through payer portals, phone calls, electronic inquiries, and written correspondence. ● Investigate unpaid, underpaid, rejected, and denied claims to determine the appropriate resolution. ● Correct billing errors and submit corrected claims, reconsiderations, and appeals within payer filing deadlines. ● Review remittance advice, explanation of benefits, and electronic remittance data to verify proper claim processing. ● Identify payment discrepancies, contractual underpayments, inappropriate denials, and incorrect patient responsibility. ● Confirm claim receipt, processing status, payment information, denial reasons, and additional documentation requirements. ● Research eligibility, benefits, authorizations, referrals, coordination of benefits, credentialing, enrollment, coding, and claim-routing issues. ● Verify that claims include accurate patient, provider, payer, diagnosis, procedure, modifier, place-of-service, and billing information. ● Submit requested medical records and supporting documentation to payers. ● Transfer balances to the appropriate payer or patient only after completing necessary research. ● Work credit balances and payment-posting discrepancies as assigned. ● Maintain detailed account notes documenting actions taken, information received, reference numbers, representatives contacted, and required follow-up. ● Monitor deadlines for corrected claims, appeals, reconsiderations, and timely filing. ● Follow up consistently until each assigned claim or balance is fully resolved. ● Escalate recurring payer issues, system problems, credentialing concerns, coding questions, and high-dollar accounts. ● Communicate professionally with clients, providers, patients, payers, and internal team members. ● Meet established productivity, quality, accuracy, and turnaround-time expectations. ● Participate in account reviews, team meetings, training sessions, and process-improvement initiatives. ● Maintain confidentiality and comply with HIPAA, company policies, payer requirements, and applicable healthcare regulations. ● Perform additional billing and revenue-cycle duties as assigned. Requirements Required Qualifications Exp- 1-2 years ● Education & Experience: High school diploma or equivalent. At least two years of medical billing, insurance follow-up, or healthcare accounts receivable experience required/preferred. ● Specialty Background: Strong background in billing for general outpatient specialties, primarily including Primary Care, Psychiatry, Gastroenterology, Dermatology, etc. ● EHR & System Expertise: Experience using practice management systems, electronic health records (EHRs), clearinghouses, and payer portals. Must have experience with platforms such as Tebra, SimplePractice, Practice Fusion, Athena, eClinicalWorks, etc. ● Work Ethic & Ownership: Highly self-driven candidates who take true ownership in their work, embrace a team environment, work independently, and do not require constant direction or monitoring. ● Core Skills: ○ Working knowledge of the medical billing and revenue-cycle process. ○ Experience researching claim status and resolving rejections, denials, and underpayments. ○ Ability to interpret remittance advice, explanation of benefits (EOB), denial codes, adjustment reason codes, and payer correspondence. ○ Familiarity with CPT, HCPCS, ICD-10-CM codes, modifiers, and medical terminology. ○ Strong written and verbal communication skills. ○ Strong organizational, problem-solving, and analytical skills. ○ Ability to manage multiple priorities and follow accounts through final resolution. ○ Proficiency with Microsoft Office, including Excel, Outlook, and Word. ● Probationary Period: Must successfully pass a 90-day probation period showcasing productivity, self-direction, and ownership. Preferred Qualifications ● Experience working with Medicare, Medicaid, commercial insurance, managed-care plans, and workers’ compensation. ● Experience preparing corrected claims, reconsiderations, and formal payer appeals. ● Knowledge of payer contracts, reimbursement methodologies, and contractual adjustments. ● Certified Professional Biller (CPB), Certified Professional Coder (CPC), or another relevant healthcare certification. ● Experience working in a multi-specialty or outsourced revenue-cycle environment. Performance Expectations The Billing / A/R Specialist is expected to: ● Consistently meet established productivity and quality standards. ● Maintain accurate, complete, and timely account documentation. ● Prioritize high-dollar, aging, and timely-filing-sensitive claims. ● Demonstrate ownership of assigned accounts and follow through until resolution. ● Avoid unnecessary claim resubmissions, duplicate claims, and preventable clearinghouse or payer fees. ● Identify trends rather than repeatedly working individual accounts without addressing the underlying issue. ● Communicate barriers and request assistance before an issue affects reimbursement or client service. ● Complete assigned work within required timeframes. ● Maintain professional and responsive communication with clients and team members.