GoPath Laboratories is a physician-owned pathology diagnostic laboratory dedicated to delivering accurate, timely, and high-quality pathology services. As our organization continues to grow, we are seeking an experienced Accounts Receivable (A/R) Specialist to join our Revenue Cycle team.
If you enjoy solving complex insurance claim issues, researching denials, and helping maximize reimbursements while working in a collaborative healthcare environment, we'd love to hear from you.
Position Summary
The Accounts Receivable Specialist is responsible for the timely follow-up and resolution of outstanding insurance claims and accounts receivable balances. This position plays a key role in maximizing reimbursement, reducing aging accounts, and ensuring compliance with payer requirements and company standards.
Essential Responsibilities
- Review and resolve assigned accounts receivable worklists with a focus on insurance claim follow-up and denial management.
- Investigate denied or underpaid claims by reviewing account history, medical documentation, coding, and payer requirements.
- Research payer policies and identify coding, billing, or contractual discrepancies.
- Prepare and submit corrected claims, appeals, and supporting documentation to insurance carriers.
- Follow claims through final adjudication to ensure timely reimbursement.
- Communicate denial trends, root causes, and resolution strategies to management.
- Utilize insurance payer portals to verify claim status, submit appeals, and obtain claim information.
- Maintain accurate documentation of all account activities within the practice management system.
- Collaborate with billing, coding, customer service, and laboratory teams to resolve complex reimbursement issues.
- Meet productivity, quality, and collection goals while maintaining exceptional attention to detail.
- Perform additional revenue cycle and accounts receivable duties as assigned.
QualificationsRequired
- High School Diploma or GED.
- Minimum of two (2) years of healthcare accounts receivable, medical billing, or insurance follow-up experience.
- Strong understanding of commercial insurance, Medicare, Medicaid, HMO, and other payer guidelines.
- Experience working insurance claim denials, appeals, and reimbursement issues.
- Knowledge of medical terminology and healthcare billing processes.
- Excellent analytical, organizational, and problem-solving skills.
- Strong written and verbal communication skills.
- Proficiency with Microsoft Office applications and healthcare billing software.
Preferred
- Experience with Kareo/Tebra Practice Management software.
- Experience using payer portals such as Availity, Optum, Medicare, Evicore, and similar systems.
- Knowledge of pathology, laboratory, or specialty physician billing.
- CPC, CPB, or other medical billing certification is a plus.
Why Join GoPath Laboratories?
- Competitive compensation based on experience.
- Stable and growing pathology laboratory organization.
- Collaborative and supportive team environment.
- Opportunities for professional growth and advancement.
- Meaningful work supporting physicians and improving patient care.
- Comprehensive training and ongoing professional development.
GoPath Laboratories is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive workplace where all employees are treated with respect and have the opportunity to succeed.
Job Type: Full-time
Pay: From $25.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
