Complex Claims Accounts Receivable Specialist needed for dedicated Health Organization 

Job ID: 24930
Pay Rate: $20.00-$30.00 DOE
Location: Remote – Florida
Work Arrangement: Remote
Employment Type: Contract to Hire

Our client is a dedicated healthcare organization committed to excellence in patient care and operational efficiency. Their team specializes in navigating the complex world of revenue cycle management to ensure accurate and timely reimbursements. Valuing skilled professionals who thrive in a collaborative, fast-paced environment and who share our passion for improving healthcare operations.
Responsibilities

• Perform high-level follow-up on outstanding insurance claims across multiple payer types, including Medicare, Medicaid, Medi-Cal, Commercial, and Managed Care.
• Review, analyze, and resolve claim denials using payer portals, EOBs/ERAs, and billing systems.
• Identify and escalate systemic payer issues or coding concerns to leadership.
• Submit corrected claims and appeals with appropriate documentation, ensuring compliance with payer-specific requirements and deadlines.
• Communicate professionally with payers, patients, and internal departments to gather or clarify necessary information.
• Monitor aging reports and prioritize work to meet departmental productivity goals.
• Document all actions taken on accounts according to department standards.
• Participate in payer audits, special projects, and process improvement initiatives.

Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree preferred.
• Minimum 3–5 years of healthcare A/R experience required.
• Proven success in resolving complex denials, underpayments, and appeals.
• Experience with major payers and strong understanding of insurance billing regulations.
• Strong working knowledge of UB-04, 837I/P, CPT/HCPCS, and ICD-10 coding.
• Proficiency in EHR and billing systems such as Epic, Cerner, Meditech, or similar.
• Familiarity with payer portals (e.g., Availity, NaviNet).
• Excellent attention to detail, organizational, and communication skills.
• Ability to work independently in a fast-paced environment.
• Flexibility to work during operating hours when insurance companies are available.
• For remote work, must have:
  • PC with Windows 10 or newer, or MacOS
  • Up-to-date antivirus protection and firewalls
  • Broadband or high-speed internet with secure, password-protected connection
  • Shredder if printing is required

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Benefits Offered by Parker Staffing to Contract to Hire Employees:   

• Paid Sick/Safe Time (based on where allowable by law)   
• Medical benefits with multiple plan tiers and Telemedicine access   
• 401K with matching contributions    
• Holiday pay    
• Employee Assistance Program (EAP) 

Parker Staffing offers all levels of Administrative, Customer Service, Call Center, Human Resources, and Non-Clinical Healthcare opportunities throughout the nation. Visit our employment opportunities page at http://www.parkerstaffing.com to review our full offering of temp, temp-to-hire, and direct hire job openings! 

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.