A/R Specialist, Healthcare Revenue Cycle

Location: Remote Employment type: Full-time Compensation: Salary Reports to: A/R Manager / Team Lead About Zoo HealthWe oversee clean claim submissions, electronic remittance advice (ERA) posting, denial management and appeals, self-pay collections, and accounts receivable (AR) follow-up for medical practices About the roleOur A/R Specialists find out why claims haven't been paid, fix what they can, and stop the same problems from coming back. You'll work assigned accounts and payer worklists for our healthcare practice clients, using sound judgment, clear documentation, and steady follow-through to bring in revenue those practices have already earned. What you'll do Prioritize your worklist. Review assigned accounts, denials, and A/R reports, and work aged and high-dollar balances first. Investigate unpaid and denied claims. Read EOBs/ERAs, payer notices, claim details, and denial and remittance codes to find the root cause. Research and reach out. Check payer requirements and claim history, and call payers or use their portals when the reason for nonpayment isn't clear. Track down missing EOBs/ERAs. Resolve claims. Correct and resubmit claims, prepare and submit appeals, or send claims up for further review when they're outside your scope. Document your work. Record the issue, what you investigated, the action you took, and the payer guidance or evidence behind it, plus payment and adjustment details where relevant. Anyone picking up the account later should know exactly where it stands. Track your output. Log claims reviewed, appeals submitted, rebills sent, and outcomes. Improve the process. Spot recurring denial patterns and share what you find so the team can fix the cause upstream. Support clients. Answer client questions professionally and within the team's response-time standards. What you bringRequired5+ years of experience in medical billing, healthcare A/R, or a related revenue cycle role Proven experience working denials and writing appeals across commercial and government payers Working knowledge of EOBs/ERAs, CARC/RARC denial codes, and the claim lifecycle Strong attention to detail and organization, and you follow through Analytical problem-solving, and you can explain why you took a given action on a claim Clear, professional writing, and you're comfortable on the phone with payers You manage your own workload independently and raise blockers early PreferredExperience with payer portals (e.g., Availity, Zelis, Instamed, etc.) and practice management or billing systems. Our billing software is Elation Billing. Some familiarity with Elation Health EHR, Tebra, eClinicalworks, and Practice Fusion is a bonus Familiarity with task-tracking tools. We use Notion and a wide variety of Google products CPC, CRCR, or a similar certification How we measure successYou'll succeed here by resolving claims whenever you can, leaving a clear and useful record when you can't resolve them yet, and surfacing recurring causes so they get fixed. The team works toward: Denial rate below 5% Net collection rate above 95% Client email responses within 24 hours What we offerHealthcare Benefits, Vision & Dental, remote work, PTO, training, schedule flexibility, growth path, and yearly raises with bonuses Zoo Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, genetic information, or any other characteristic protected by law.