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Accounts Receivable Specialist

Reports To: Lead Revenue Cycle
Locations Hiring From: Arizona, Delaware, Florida, Georgia, Idaho, Indiana, Louisiana, Minnesota, Missouri, New Hampshire, North Carolina, Pennsylvania, South Carolina, Tennessee, Texas, Vermont, Virginia ONLY. Must currently reside and plan on residing in the entire employment.
Schedule: Monday- Friday 9-6pm EST
Employment Type: Full-Time

Role Overview

As an Account Receivable Specialist, you will be responsible for managing insurance accounts receivable and ensuring accurate, timely posting and reconciliation of payments. This role focuses on maximizing reimbursement through proactive claim follow-up, denial resolution, payment investigation, and cash reconciliation. You will work closely with our Revenue Cycle leads, other members of the Revenue Cycle team, finance, and clinical teams to resolve payment discrepancies, improve AR performance, and maintain accurate financial records. This role also supports reporting and identifies trends to improve revenue cycle processes and overall financial performance. Your attention to detail, excellent organizational skills, and commitment to customer access will contribute to the financial stability and success of Oshi as we pioneer the way in GI care.

What You'll Do: Key Responsibilities

• Manage assigned insurance accounts receivable to ensure timely reimbursement and reduce aging balances.
• Follow up with insurance payers on outstanding claims, underpayments, denials, and payment discrepancies.
• Investigate and resolve claim denials by submitting corrected claims, appeals, reconsiderations, and supporting documentation in accordance with payer requirements.
• Review claim edits and rejections to ensure accurate resubmission and minimize future denials.
• Accurately post insurance payments, adjustments, and remittances into the billing system.
• Perform daily payment reconciliation by ensuring posted payments align with electronic remittance advice (ERA), explanation of benefits (EOB), bank deposits, and payment reports.
• Research and resolve unapplied cash, payment variances, overpayments, and underpayments.
• Reconcile payer payments against contracted reimbursement rates and escalate payment discrepancies as appropriate.
• Maintain accurate documentation of AR activities, payer communications, payment research, and resolution outcomes.
• Respond professionally and empathetically to patient inquiries regarding insurance claims, billing statements, payment activity, balances, and Oshi's billing model, policies, procedures, and applicable healthcare regulations.
• Maintain open communication with providers, payers, and internal stakeholders to investigate, resolve, and prevent claim and payment issues.
• Collaborate with Eligibility & Benefits, Credentialing, Finance, Clinical Operations, and other cross-functional teams to resolve reimbursement issues and improve revenue cycle performance.
• Analyze accounts receivable, payment, and denial data to identify trends, root causes, and opportunities for process improvement.
• Monitor and report on AR performance, payment posting accuracy, denial trends, aging, and other key revenue cycle metrics, providing insights and recommendations to leadership.
• Support month-end close activities, payment balancing, reporting, and audit requests.
• Identify recurring reimbursement or operational issues and recommend process improvements to improve payment accuracy, accelerate cash collections, and reduce denials.
• Ensure compliance with organizational policies, payer requirements, financial regulations, HIPAA, and healthcare billing standards while maintaining accuracy and integrity in all revenue cycle activities.

What We're Looking For: Qualifications & Requirements

Required

• Bachelor's Degree in Business Administration or relevant course work.
• 2+ years of healthcare revenue cycle experience with a focus on accounts receivable, payment posting, or insurance billing.
• Knowledge of medical billing, insurance claims processing, and payer reimbursement.
• Experience resolving claim denials, underpayments, and payment discrepancies.
• Experience posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash.
• Experience working successfully in a remote work environment with the ability to manage priorities independently.
• Proficiency with EMR and medical billing systems.
• Strong analytical, problem-solving, and organizational skills with excellent attention to detail.
• Excellent communication and customer service skills.
• Proficiency with Google Workspace (Sheets, Docs, Gmail) and the ability to quickly learn new systems and technology.

Preferred

• Experience in a startup or high-growth healthcare organization.
• Experience in telehealth or virtual care.
• Experience with payer contract reimbursement analysis and payment variance investigations.
• Familiarity with payer portals, clearinghouses, EFT/ERA processing, and payment reconciliation.
• Experience tracking and reporting revenue cycle metrics (e.g., AR aging, denials, net collection rate).
• Experience with Athenahealth, Apero, Salesforce, or similar healthcare platforms.
• CRCR, CPB, CPC, or other healthcare revenue cycle certification.

Compensation & Benefits

• Salary Range: 47,000-52,000 per year plus bonus eligibility
• Health Benefits: Employer-sponsored medical, dental, and vision coverage
• Time Off: Unlimited PTO + 11 paid company holidays
• Retirement: Eligibility to contribute to 401(k)
• Work Style: Remote-first — work from home within our approved states
• Growth: Tailored professional development opportunities as we scale
• Life Concierge: Access to Overalls, because we know life happens

About Oshi Health

Oshi Health is a virtual digestive health practice on a mission to transform GI care. We combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions get the answers and relief they deserve. When you join Oshi, you're joining a team and a mission that's changing what great healthcare looks like. Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions. We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.

For Every Oshi Team Member We Want:

• Genuine passion for improving patient lives and transforming GI care
• Strong communication skills and emotional intelligence
• Comfort in a fast-paced, remote-first, mission-driven environment