Accounts Receivable SpecialistLocation: Wailuku, HI (Partially Remote must be local to the office)Schedule Options: 8:004:30 but flex start to 7AMMake an impact where precision meets compassion. Join a revenue cycle team that safeguards patient experience and organizational health. In this role you'll own the full lifecycle of Workers' Compensation (WC) and Third-Party Liability (TPL) billing and collections from clean claims to cashwhile partnering closely with patients, payors, and internal stakeholders to resolve complex issues fast.What you'll do:Submit initial, corrected, and reconsidered WC/TPL claims with complete, accurate documentation.Work A/R proactively: track aging, follow up with payors, and drive timely payments.Resolve roadblocks: denials, rejections, underpayments, COB and liability disputes; ensure timely filing.Own denial management: investigate EOBs/ERAs, fix root causes, and secure reversals/adjustments.Educate and support patients/customers by phone and email with clear status updates and next steps.Interpret benefits (deductible, coinsurance, coverage); escalate high-dollar accounts to protect revenue.Support self-pay collections processes as needed to close the loop on outstanding balances.What you'll bring (Must-haves):1+ year medical insurance claims processing experience.Hands-on knowledge of Medicaid, Medicare, Commercial, Workers' Compensation, and TPL payer rules.Proven follow up / A/R management discipline and analytical problem solving skills.Insurance benefits fluency (deductible, coinsurance, COB, coverage interpretation).Associate's or Bachelor's in Business, Finance, Accounting, or Healthcare (HS Diploma required).Pay Details: $21.00 to $24.00 per hourSearch managed by: Joanna CalderonBenefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply.To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:The California Fair Chance ActLos Angeles City Fair Chance OrdinanceLos Angeles County Fair Chance Ordinance for EmployersSan Francisco Fair Chance OrdinanceMassachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.Ref: US_EN_27_842405_3113333