Accounts Receivable Specialist

NextCare Introduction

NextCare strives to be the leader in high access healthcare, offering urgent care, occupational health, virtual health and primary care services to our patients. With offering services in eleven states (Arizona, Colorado, Kansas, Michigan, Missouri, Nebraska, North Carolina, Oklahoma, Texas, Virginia and Wyoming) and over 170 urgent care clinic locations, we offer exceptional, affordable care to patients across the country.

At NextCare, we constantly strive to provide you with the highest degree of caring, growth, integrity, results and teamwork. These essential core values form the foundation of our relationships with patients, customers, investors, partners and one another. Extraordinarily high-performance standards serve as critical guides for making important clinical and business decisions. The expression of these standards is evident in our behavior, our attitude, and our approach to our daily work. The product of our strict adherence to core values is the ability to harness tremendous organizational energy to achieve our goal of upholding the highest standard for quality and service within the high access healthcare. This unique combination of values, performance standards and commitment serves as the key to our success.

What we are looking for

We are seeking a highly skilled and detail-oriented Accounts Receivable Specialist to join our medical billing team. This role is critical to maintaining the organization’s financial health, with a focus on timely and accurate resolution of outstanding medical claims. The ideal candidate will have a deep understanding of the medical billing lifecycle, advanced knowledge of payer guidelines, and a proven ability to reduce accounts receivable aging through proactive follow-up and denial management.

Location

For candidates residing in Arizona, this is a hybrid position requiring a combination of remote and in-office work.  Our office is located in Tempe off Baseline Rd. and the101. 

Key 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

Qualifications:

• Experience: Minimum of 5 years of experience in medical billing or accounts receivable with a strong emphasis on insurance claim resolution and denial management.
• Knowledge: In-depth understanding of medical billing and coding principles (CPT, ICD-10, HCPCS) and payer reimbursement methodologies.
• Technical Skills: Proficiency with medical billing software; experience with NextGen Billing strongly preferred. Waystar Clearinghouse expertise required.
• Analytical Skills: Strong ability to interpret EOBs, remittance advice, and payer correspondence to resolve complex claim issues.
• Attention to Detail: Exceptional accuracy in data entry, financial reconciliation, and documentation.
• Communication Skills: Effective written and verbal communication skills to interact with payers, internal teams, and external stakeholders in a professional manner.

Benefits:

NextCare offers full time employees 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 and paid time off benefits. Employees of all statuses are offered 401(k) Plan benefits. Employees in select positions are offered shift differential benefits. Benefits are offered per policy and plan rules.