[Remote] Accounts Receivable Specialist-Medicare, Customer Service Operations

Note: The job is a remote job and is open to candidates in USA. Cardinal Health is a healthcare services and products company, and they are seeking an Accounts Receivable Specialist - Medicare to manage the resolution of insurance claims. This role focuses on ensuring accurate collection of outstanding balances and improving cash flow within the organization.ResponsibilitiesReview aging reports and work insurance accounts to ensure timely resolution and reimbursementContact insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issuesAnalyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions)Track and follow up on all submitted appeals until resolutionAnalyze explanation of benefits (EOBs) and remittance advice to determine the reason for denial or reduced paymentDocument all collection activities in the billing system according to departmental proceduresFollow up on unpaid claims within payer-specific guidelines and timelinesCoordinate with other billing team members, coders, and providers to resolve claim discrepanciesMaintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelinesEnsure compliance with HIPAA and all relevant federal/state billing regulationsFlag trends or recurring issues for team leads or supervisorsMeet daily/weekly productivity goals (e.g., number of claims worked, follow-ups completed)Assist with special projects, audits, or other duties as assignedSkills1-3 years of experienceHigh School Diploma, GED or equivalent work experienceStrong knowledge of insurance claim processing and denial managementFamiliarity with Medicare, Medicaid, and managed careProficiency in billing software (e.g. Waystar, Noble House, etc.) and Microsoft Office SuiteExcellent verbal and written communication skillsAbility to work independently and manage time effectivelyDetail-oriented with strong analytical and problem-solving skillsBenefitsMedical, dental and vision coveragePaid time off planHealth savings account (HSA)401k savings planAccess to wages before pay day with myFlexPayFlexible spending accounts (FSAs)Short- and long-term disability coverageWork-Life resourcesPaid parental leaveHealthy lifestyle programsCompany OverviewCardinal Health is a manufacturer and distributor of medical and laboratory products. It was founded in 1971, and is headquartered in Dublin, Ohio, USA, with a workforce of 10001+ employees. Its website is https://www.cardinalhealth.com.Company H1B SponsorshipCardinal Health has a track record of offering H1B sponsorships, with 128 in 2025, 116 in 2024, 140 in 2023, 158 in 2022, 106 in 2021, 142 in 2020. Please note that this does not guarantee sponsorship for this specific role.



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