Posting Note: Job Title: Collections Specialist – AHCCCS Collections / Follow-Up
Location: Fully Remote (Must Reside in Arizona)
Schedule: Full-Time – 8-hour shift between 6:00 AM – 5:30 PM (flexible start times)
Position Summary:
We are seeking a detail-oriented Collections Specialist with healthcare accounts receivable experience to support AHCCCS and insurance collections. This role is responsible for performing follow-up with payors, resolving outstanding claims, and helping reduce accounts receivable within a healthcare environment. The ideal candidate will have strong knowledge of payer processes, insurance collections, and appeals management. Experience in a multispecialty medical environment is highly preferred.
Key Responsibilities:
Perform follow-up with payors regarding outstanding claims, including AHCCCS and commercial insurance accounts.
Investigate and resolve denied or delayed claims to ensure timely reimbursement.
Submit and track insurance appeals as necessary.
Work to reduce accounts receivable balances and meet collection goals.
Review claim status, identify billing issues, and coordinate resolution with internal teams.
Ensure compliance with payer policies, contractual requirements, and governmental regulations.
Maintain accurate documentation of collection activities and follow-up actions.
Required Qualifications:
Education
High School Diploma or equivalent.
Experience
Minimum of two (2) years of experience performing collection activity and reducing accounts receivable in a healthcare setting.
Experience with healthcare A/R collections and insurance collections.
Experience with claims appeals.
Special Skills
Ability to follow payer and governmental requirements as required by the organization.
Strong problem-solving and follow-up skills.
Knowledge of healthcare billing and reimbursement processes.
Preferred Qualifications
Experience working with AHCCCS payors.
Multispecialty medical practice experience strongly preferred.
If you are experienced in healthcare collections and enjoy working in a fast-paced revenue cycle environment, we encourage you to apply.
This position collects payments for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.