Accounts Receivable Coordinator

Description

HighFive Healthcare is a leading specialty dental partnership organization that collaborates with best-in-class oral surgeons and endodontists to provide exceptional patient experiences, fostering a culture of quality, innovation, and stewardship.

We are seeking a detail-oriented and results-driven Accounts Receivable Coordinator to manage our insurance accounts receivable process. This role is responsible for the timely and accurate submission of insurance claims, proactive follow-up on unpaid or denied claims, and resolution of billing discrepancies.

The ideal candidate will play a key role in achieving and exceeding collection targets and reducing aging receivables, in alignment with goals set by the Revenue Cycle Management (RCM) team.

This role is part of our Homebase team based in Birmingham, Alabama.

Key Responsibilities

• Investigate, appeal, and resolve denied or rejected claims by collaborating with insurance payors to ensure appropriate reimbursement.
• Review Explanations of Benefits (EOBs) to identify and analyze claim-level issues.
• Identify root causes of billing and submission errors to prevent repeat occurrences.
• Correct and resubmit claims in accordance with standardized procedures.
• Follow up on unresolved claims using clearinghouses, payer portals, or direct communication with payors.
• Determine when appeals are necessary, submit them promptly, and track progress through resolution.
• Monitor denial trends and report recurring issues to RCM leadership for analysis and improvement.
• Communicate clearly and professionally with internal teams, payors, and patients regarding claim status and billing issues.
• Stay informed on industry regulations, insurance policies, and best practices related to denial management and billing compliance.
• Participate in special projects or additional duties as assigned by management.
• Consistently meet or exceed daily productivity standards and departmental KPIs.
• Contribute to meeting team goals related to net collection rates and successful claim resolutions.

Requirements

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare, business, or related field preferred.
• Minimum of 2 years’ experience in healthcare billing and insurance accounts receivable.
• Solid understanding of healthcare reimbursement, insurance claims processes, and billing best practices.
• Proficiency in EHR systems and medical billing software.
• Experience with dental billing is a plus.
• Strong computer skills, including working knowledge of Excel and billing workflows.
• Experience supporting 100+ providers in a healthcare business office environment preferred.
• Excellent attention to detail, problem-solving abilities, and organizational skills.
• Strong written and verbal communication skills.
• Ability to manage multiple priorities and work independently.
• Understanding of HIPAA and healthcare compliance regulations.

Benefits

• Medical, dental, and vision insurance
• Life Insurance and Short-Term and Long-Term Disability Coverage
• Paid Time Off (PTO)
• 401(k) with employer match

We look forward to hearing from you!