Senior Level Healthcare Accounts Receivable & Audit Specialist

Job Posting: Healthcare Accounts Receivable & Audit Specialist (US Psychiatry Practice)
Job Title: Healthcare Accounts Receivable & Audit Specialist

Location: Remote (Philippines-Based)

Schedule: Full-Time (40 hrs/week) | US Central Standard Time (CST)

Working Hours: 8:00 AM – 5:00 PM CST (Philippine Night Shift, approx. 9:00 PM – 6:00 AM PHT)

Compensation: $1,100 – $1,400 USD / month (Depending on Experience)

Perks: Paid US Holidays, Performance Perks

About Our Practice
We are a growing US-based psychiatry practice committed to providing high-quality patient care. We recently migrated to Healthie (EHR) integrated with Claim.MD (Clearinghouse).

Because software migrations introduce operational edge cases, we are seeking a detail-obsessed, highly analytical Healthcare Accounts Receivable Specialist with strong US medical accounting experience. In this role, you will act as a financial detective. You will clean up EHR migration anomalies, track down unapplied payments, untangle primary/secondary remittance advice, maintain contractor percentage-of-collection models in Google Sheets, and ensure our financial ledger balances down to the penny.

Key Responsibilities
Payment Application & EHR Audit: Audit Healthie and Claim.MD to verify whether incoming payments, ERAs, and EOBs have been correctly applied, adjusted, or flagged as unapplied.

Recoupment & Reversal Tracking: Monitor Claim.MD for insurance recoupments, takebacks, or withholdings; update patient balances accurately, and alert the admin team to appeal or follow up with payers.

Primary & Secondary Remittance Reconciliation: Review multi-payer EOBs/ERAs to accurately split, cross-reference, and reconcile primary vs. secondary insurance payments and patient responsibility.

Patient Balance & Refund Audits: Identify true credit balances/overpayments, coordinate patient refund workflows with internal staff, and clear phantom balances resulting from software migration.

Contractor Pay Calculations: Maintain and audit complex Google Sheets models to calculate provider pay based on net collections (percentage-of-collection models).

Documentation & Standardized Notations: Write flawless, detailed internal audit notes on patient accounts so leadership and tea ---------- mbers can easily trace every resolution, adjustment, and payment history.

Cross-Team Communication: Clear, written escalation of billing anomalies, insurance recoupment issues, or payment discrepancies to US management.

Qualifications & Requirements
Experience: 3+ years of direct experience in US Healthcare Accounts Receivable (AR), Medical Billing, or Revenue Cycle Management (RCM).

Clearinghouse & EHR Knowledge: Proven experience using clearinghouses (Claim.MD preferred, or Availity/Change Healthcare) and modern EHR systems (Healthie experience is a major plus).

Advanced Google Sheets / Excel: Master of VLOOKUP/XLOOKUP, Pivot Tables, conditional logic, and building clean formulas for provider payout models.

Insurance Acumen: Deep understanding of ERAs, EOBs, CO/PR adjustment codes, recoupments, and secondary payer routing.

Tech Stack Familiarity: Experience with G Suite (Google Workspace) and general accounting concepts (QuickBooks Online experience preferred).

Work Setup & Schedule: Reliable high-speed internet (with backup connection), quiet dedicated workspace, and full availability to work live during US Central Standard Time (CST) hours.

Mindset: "Data detective" who takes pride in digging through complex multi-system edge cases until every dollar is accounted for.

Benefits & Compensation
Monthly Salary: $1,100 – $1,400 USD / month (paid semi-monthly via Wise / Direct Deposit).

Paid Holidays: Paid coverage for major US holidays.

Long-Term Growth: Stable, direct employment with a growing US psychiatry practice.

How to Apply (Read Carefully)
We are a highly detail-oriented practice and take our hiring process seriously. Generic resumes or canned cover letters will be automatically disqualified.

To apply, send an email to ---------- with the exact subject line:

???? "Application: Healthcare AR Specialist - [Your Full Name]"

In your email , please include:

Your Resume (PDF format only).

A brief cover note answering these 3 screening questions directly in the body of the email :

Question 1 (Technical Logic): If a primary insurance company processes a claim for $200, pays $120, applies $30 to patient responsibility, and takes an adjustment/contractual discount of $50—what exact amount gets billed to the secondary insurance, and what supporting document needs to be attached?

Question 2 (Systems & Troubleshooting): Tell us about a time you had to track down an unapplied bulk payment or an insurance recoupment across an EHR and a Clearinghouse (like Claim.MD). How did you document it so the team understood what happened?

Question 3 (Google Sheets): On a scale of 1–10, how comfortable are you using VLOOKUP/XLOOKUP and Pivot Tables to reconcile payout percentages? (Give a 1-sentence example of how you’ve used formulas to catch financial discrepancies).

Bonus Detail: Somewhere in your email body, mention your favorite color so we know you read all instructions carefully.

Applications missing the required subject line or answers to the 3 questions will not be reviewed.