Capital Area Health Network (CAHN)
Richmond, VA—On‑Site Position
Make a real impact with Capital Area Health Network (CAHN), a dynamic and growing Federally Qualified Health Center (FQHC) located in the heart of Richmond, VA. We’re expanding our team and seeking talented, mission‑driven professionals who want to elevate community health. At CAHN, we innovate, we serve with purpose, and we are just better! Step into a role where your work creates lasting change.
Compassion—We treat every person with dignity and fairness, ensuring no one is alienated or discriminated against.
Accountability—We safeguard confidentiality and maintain transparency with staff, stakeholders, and the community.
Reverence—We uplift those we serve through mutual respect and shared humanity.
Excellence—We embrace continuous learning and deliver culturally responsive, high‑quality care.
Stewardship—We manage resources responsibly to support our organization and the communities we serve.
CAHN provides comprehensive primary care, dental services, and behavioral health support, ensuring all individuals receive the quality care they deserve—regardless of background or circumstance.
Our Mission:
To deliver effective, accessible, and culturally responsive care, education, and advocacy that promote health and quality of life.
Discover a place where your work makes a difference.
Discover Capital Area Health Network.
The Accounts Receivable Specialist is responsible for reviewing explanations of benefits, resolving denials, and managing open accounts receivable. Working under minimal supervision and following established procedures and policies, this role provides exceptional support to both internal and external customers of Capital Area Health Network. The position interacts daily with team members and other departments to resolve outstanding account balances efficiently while enhancing the customer experience and supporting organizational integrity and compliance.
The following duties are considered essential functions. Reasonable accommodations may be made in accordance with the ADA to enable individuals with disabilities to perform these functions.
-
Analyze, resolve, and help prevent insurance rejections and claim denials.
-
Document all actions and responses related to claim resolution in the revenue cycle management system.
-
Review and resolve claim issues in assigned error and denial queues.
-
Prepare billing as needed, including patient registration, insurance verification, charge review, charge entry, and assembling supporting documentation.
-
Ensure claims are submitted to the appropriate payer within filing limit guidelines.
-
Demonstrate strong communication skills and a positive, professional attitude with internal and external customers.
-
Maintain thorough knowledge of third‑party eligibility tools, claim inquiry systems, payer requirements, and regulatory guidelines.
-
Audit explanations of benefits to confirm accurate patient responsibility, registration, coding, payment posting, and insurance processing.
-
Process remittances, payments, and related documentation in accordance with CAHN policies and procedures.
-
Consistently meet or exceed departmental productivity standards.
-
Prioritize and organize work effectively to meet deadlines.
-
Identify and research trends related to non‑payment and recommend preventive measures to improve cash collections.
-
Notify the Revenue Cycle Manager of recurring issues and recommend improvements to departmental processes.
-
Communicate payer updates and changes to the Revenue Cycle Manager.
-
Support the team by performing additional assignments as needed and directed by management.
-
Maintain strict confidentiality and adhere to all HIPAA regulations.
-
Demonstrate strong attention to detail, initiative, and sound judgment.
-
Monday–Friday, 8:00 am–5:00 am, with potential extended hours as needed.
-
This is an on‑site position.
-
High school diploma or equivalent (GED) required; CPB certification preferred.
-
Comprehensive understanding of insurance requirements, regulations, contract benefits, credit and collection procedures, and financial assistance programs.
-
Familiarity with medical terminology required.
-
Minimum of two years of experience preferred; one year will be considered.
-
Strong analytical and critical‑thinking skills to diagnose account issues.
-
Effective listening and communication skills to support service excellence.
-
Demonstrated project and time‑management abilities.
-
Ability to work effectively by phone and in a team environment.
-
Knowledge of insurance coordination of benefits and reimbursement policies, including HMO/PPO, Medicare, Medicaid, and commercial payers.
-
Familiarity with CPT and ICD‑10 coding.
We value our team, and it shows in our comprehensive benefits package:
-
Medical, Dental, and Vision Insurance
-
Secondary Gap Insurance
-
Prescription Drug Plan
-
Supplemental Policies through Colonial Life
-
Short‑Term Disability
-
401(k) Retirement Plan with up to 3% Company Match
-
Employer‑Sponsored Short‑Term Disability
-
Employer‑Paid Life and AD&D Insurance
-
Paid Time Off (PTO) beginning Day 1
-
Self‑Care Floating Holidays
-
8.5 Paid Holidays
-
Employee Assistance Program (EAP)
-
Public Service Loan Forgiveness (PSLF) eligibility
We are committed to supporting your well‑being—at work and beyond.
To perform this job successfully, the individual must be able to perform each essential function satisfactorily. The requirements listed represent the knowledge, skills, abilities, and characteristics necessary for the role. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.
This position may involve occasional exposure to standard office chemicals and materials. The duties listed represent essential functions and may be modified in accordance with ADA guidelines. This job description is not intended to be an exhaustive list of all duties or requirements. Employees may be assigned additional job‑related responsibilities by their supervisor, with reasonable accommodations provided when required.
