Apply on Employer Site

knownwell · 11 hours ago

Senior Payer Accounts Receivable Specialist

United States

Full-time

Remote

Mid, Senior Level

$75K/yr - $85K/yr

4+ years exp

Knownwell is a dynamic company focused on delivering weight-inclusive healthcare, including weight management and primary care. The Senior Payer Accounts Receivable Specialist will oversee the payer accounts receivable process, ensuring timely and accurate claim resolution while managing relationships with internal stakeholders and outsourced billing partners.

Artificial Intelligence (AI)Health CareMedicalPrimary and Urgent Care

Responsibilities

Monitor overall payer A/R performance, including aging trends, denial rates, and collection metrics

Serve as the primary liaison between internal leadership and outsourced billing partners for payer-related workflows

Review and escalate unresolved or systemic claim issues (e.g., underpayments, incorrect denials, recurring rejection codes)

Identify and prioritize high-value or at-risk accounts for targeted resolution

Process and reconcile payments, EOBs, and ERAs, accurately posting to patient accounts and the A/R system

Review payer denials and correspondence to identify patterns and recommend process improvements

Work with coding, charge entry, and credentialing teams to resolve root causes of denials or payment delays

Track payer policy updates and reimbursement changes that impact claim outcomes

Coordinate corrected claims, appeals, and retroactive adjustments as needed

Qualification

Healthcare payer operationsDenial managementReimbursement methodologiesEOBs understandingAthenahealth experienceAnalytical skillsCustomer serviceProfessionalismCommunication skills