Note: The job is a remote job and is open to candidates in USA. Oshi Health is a virtual digestive health practice on a mission to transform GI care. As an Accounts Receivable Specialist, you will manage insurance accounts receivable, ensuring accurate posting and reconciliation of payments while collaborating with various teams to resolve discrepancies and improve revenue cycle processes.
Responsibilities
- Manage assigned insurance accounts receivable to ensure timely reimbursement and reduce aging balances
- Follow up with insurance payers on outstanding claims, underpayments, denials, and payment discrepancies
- Investigate and resolve claim denials by submitting corrected claims, appeals, reconsiderations, and supporting documentation in accordance with payer requirements
- Review claim edits and rejections to ensure accurate resubmission and minimize future denials
- Accurately post insurance payments, adjustments, and remittances into the billing system
- Perform daily payment reconciliation by ensuring posted payments align with electronic remittance advice (ERA), explanation of benefits (EOB), bank deposits, and payment reports
- Research and resolve unapplied cash, payment variances, overpayments, and underpayments
- Reconcile payer payments against contracted reimbursement rates and escalate payment discrepancies as appropriate
- Maintain accurate documentation of AR activities, payer communications, payment research, and resolution outcomes
- Respond professionally and empathetically to patient inquiries regarding insurance claims, billing statements, payment activity, balances, and Oshi's billing model, policies, procedures, and applicable healthcare regulations
- Maintain open communication with providers, payers, and internal stakeholders to investigate, resolve, and prevent claim and payment issues
- Collaborate with Billing, Eligibility & Benefits, Credentialing, Finance, Clinical Operations, and other cross-functional teams to resolve reimbursement issues and improve revenue cycle performance
- Analyze accounts receivable, payment, and denial data to identify trends, root causes, and opportunities for process improvement
- Monitor and report on AR performance, payment posting accuracy, denial trends, aging, and other key revenue cycle metrics, providing insights and recommendations to leadership
- Support month-end close activities, payment balancing, reporting, and audit requests
- Identify recurring reimbursement or operational issues and recommend process improvements to improve payment accuracy, accelerate cash collections, and reduce denials
- Ensure compliance with organizational policies, payer requirements, financial regulations, HIPAA, and healthcare billing standards while maintaining accuracy and integrity in all revenue cycle activities
Skills
- 2+ years of healthcare revenue cycle experience with a focus on accounts receivable, payment posting, or insurance billing
- 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
- Experience working successfully in a remote work environment with the ability to manage priorities independently
- Proficiency with EMR and medical billing systems
- Strong analytical, problem-solving, and organizational skills with excellent attention to detail
- Excellent communication and customer service skills
- Proficiency with Google Workspace (Sheets, Docs, Gmail) and the ability to quickly learn new systems and technology
- Experience in a startup or high-growth healthcare organization
- Experience in telehealth or virtual care
- Experience with payer contract reimbursement analysis and payment variance investigations
- Familiarity with payer portals, clearinghouses, EFT/ERA processing, and payment reconciliation
- Experience tracking and reporting revenue cycle metrics (e.g., AR aging, denials, net collection rate)
- Experience with Athenahealth, Apero, Salesforce, or similar healthcare platforms
- CRCR, CPB, CPC, or other healthcare revenue cycle certification
Benefits
- Bonus eligibility
- Employer-sponsored medical, dental, and vision coverage
- Unlimited PTO + 11 paid company holidays
- Eligibility to contribute to 401(k)
- Remote-first 6 work from home
- Tailored professional development opportunities as we scale
- Access to Overalls, because we know life happens
Company Overview