Accounts Receivable Specialist

hace 2 semanas


Tijuana, Baja California, México REMAX Express A tiempo completo

Position Summary (English)

We are seeking a detail-oriented and motivated
Accounts Receivable (AR) Specialist
to support revenue cycle operations by managing open receivables, resolving payment discrepancies, and ensuring timely and accurate reimbursement. This role is critical to maintaining healthy cash flow through effective AR follow-ups, denial resolution, and cross-functional collaboration.

The ideal candidate is analytical, organized, and comfortable working with billing systems, payer portals, and high-volume account workflows in a fast-paced environment.

Key Responsibilities (English)

Accounts Receivable Follow-Up

  • Review and analyze AR aging reports to identify, prioritize, and resolve outstanding balances.
  • Perform follow-ups on unpaid or underpaid accounts via phone, email, and payer portals.
  • Monitor account status and escalate unresolved issues when necessary.

Denials & Discrepancy Management

  • Investigate denied, rejected, or pending claims and determine corrective actions.
  • Coordinate corrections, resubmissions, and appeals to secure payment.
  • Research and resolve unapplied or misapplied payments to ensure account accuracy.
  • Identify denial trends and collaborate with internal teams to reduce recurring issues.

Documentation & Reporting

  • Maintain accurate and organized documentation of all follow-ups, communications, and resolutions.
  • Prepare and update AR reports to track progress, risks, and unresolved balances.
  • Support initiatives to improve collection efficiency and AR performance.

Cross-Functional Collaboration

  • Work closely with billing, operations, and administrative teams to ensure accurate documentation and timely processing.
  • Participate in internal meetings to discuss trends, share insights, and implement best practices.

Additional Duties

  • Perform other duties as assigned to support departmental objectives.

Qualifications (English)

Required

  • 1–2 years of experience in Accounts Receivable, medical billing, or AR follow-up.
  • Strong understanding of billing workflows and payer processes.
  • Experience with billing platforms, EMR/EHR systems, or AR tools.
  • Strong analytical and problem-solving skills.
  • High attention to detail and commitment to accuracy and compliance.
  • Excellent verbal and written communication skills.
  • Bilingual in English and Spanish (preferred or required, depending on role).

Preferred

  • Associate's or Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field.
  • Experience in healthcare or revenue cycle management environments.
  • Proficiency in Microsoft Excel and reporting tools.

Vacante: Especialista en Cuentas por Cobrar (AR)

Departamento:
Revenue Cycle Management

Tipo de Empleo:
Tiempo Completo

Estatus:
No Exento

Ubicación:
Presencial / Híbrido / Remoto (según aplique)

Resumen del Puesto (Español)

Buscamos un(a)
Especialista en Cuentas por Cobrar (AR)
orientado(a) al detalle y a resultados para apoyar las operaciones del ciclo de ingresos mediante la gestión de cuentas abiertas, resolución de discrepancias de pago y aseguramiento de reembolsos oportunos y precisos. Este puesto es clave para mantener un flujo de efectivo saludable a través de un seguimiento efectivo de AR, gestión de rechazos y colaboración interdepartamental.

El candidato ideal es analítico, organizado y con experiencia en el uso de sistemas de facturación, portales de pagadores y manejo de alto volumen de cuentas.

Responsabilidades Principales (Español)

Seguimiento de Cuentas por Cobrar

  • Analizar reportes de antigüedad de saldos para identificar y priorizar cuentas pendientes.
  • Dar seguimiento a cuentas no pagadas o con pago incompleto mediante llamadas, correos electrónicos y portales de pagadores.
  • Monitorear el estatus de las cuentas y escalar incidencias cuando sea necesario.

Gestión de Rechazos y Discrepancias

  • Investigar reclamaciones rechazadas, pendientes o con errores de pago.
  • Coordinar correcciones, reenvíos y apelaciones para asegurar el cobro.
  • Investigar y resolver pagos no aplicados o mal aplicados.
  • Identificar patrones de rechazo y colaborar con equipos internos para reducir recurrencias.

Documentación y Reportes

  • Mantener documentación clara y organizada de gestiones, comunicaciones y resoluciones.
  • Elaborar y actualizar reportes de AR para dar seguimiento a avances y cuentas críticas.
  • Apoyar iniciativas de mejora de procesos y eficiencia de cobranza.

Colaboración Interdepartamental

  • Trabajar de forma cercana con las áreas de facturación, operaciones y administración.
  • Participar en reuniones internas para compartir hallazgos y mejores prácticas.

Otras Funciones

  • Realizar otras actividades asignadas por el supervisor o el área.

Requisitos (Español)

Indispensables

  • 1–2 años de experiencia en cuentas por cobrar, facturación médica o seguimiento de AR.
  • Conocimiento de procesos de facturación y gestión de pagos.
  • Experiencia con sistemas de facturación y/o plataformas EMR/EHR.
  • Habilidades analíticas y de resolución de problemas.
  • Alto nivel de atención al detalle y enfoque en cumplimiento.
  • Excelente comunicación verbal y escrita.
  • Inglés y español (nivel avanzado o bilingüe, según el puesto).

Deseables

  • Carrera técnica, licenciatura o estudios en Contabilidad, Finanzas, Administración o área afín.
  • Experiencia en entornos de salud o Revenue Cycle Management.
  • Manejo de Excel y herramientas de reporteo.

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