NextCare · 6 hours ago
Accounts Receivable Specialist
Tempe, AZ
Full-time
Hybrid
Senior Level
5+ years expNextCare is a leader in high access healthcare, offering various medical services across eleven states. They are seeking a detail-oriented Accounts Receivable Specialist to maintain the organization's financial health through the resolution of outstanding medical claims.
BiotechnologyHealth CareMedicalPrimary and Urgent CareService Industry
Responsibilities
Claims Management: Monitor and follow up on unpaid and denied medical claims across a variety of payers (commercial, Medicare, Medicaid, etc.) to ensure timely reimbursement
Denial Resolution: Research, analyze, and resolve claim denials and underpayments by identifying root causes, correcting errors, submitting appeals, or providing additional documentation as needed
Account Reconciliation: Reconcile accounts receivable by posting adjustments and resolving discrepancies to maintain accurate financial records
Trend Analysis & Reporting: Generate and analyze A/R reports to identify patterns in denials, reimbursement delays, or system inefficiencies, and recommend process improvements
Collaboration: Partner with billing, coding, and compliance teams to ensure claims are processed accurately and efficiently
Compliance: Maintain strict adherence to HIPAA regulations, payer-specific guidelines, and company policies to ensure data integrity and patient confidentiality
Qualification
Required
Minimum of 5 years of experience in medical billing or accounts receivable with a strong emphasis on insurance claim resolution and denial management
In-depth understanding of medical billing and coding principles (CPT, ICD-10, HCPCS) and payer reimbursement methodologies
Proficiency with medical billing software; experience with NextGen Billing strongly preferred
Waystar Clearinghouse expertise required
Strong ability to interpret EOBs, remittance advice, and payer correspondence to resolve complex claim issues
Exceptional accuracy in data entry, financial reconciliation, and documentation
Effective written and verbal communication skills to interact with payers, internal teams, and external stakeholders in a professional manner
Preferred
Experience with NextGen Billing
Benefits
Medical
Health savings account
Dental
Vision
Basic life
Voluntary employee/spouse/child life
Long term disability
Short term disability
Employee assistance program
Critical illness
Accident
Legal
Identity theft
Paid time off
401(k) Plan benefits
Shift differential benefits
Company
NextCare
NextCare offers urgent care and occupational medical services for various illnesses such as cough, diaper rashes, earaches and more.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$165.28MKey Investors
Enhanced Equity Fund
2018-12-13Acquired
2018-02-01Debt Financing
2014-07-18Series Unknown· $10M
Leadership Team
Ian Worden
Chief Technology Officer (CTO)
Alina Schreiber
Chief Financial Officer
Recent News
Modern Healthcare
2025-01-04
24-7 Press Releases
2023-11-24
Company data provided by crunchbase