Title: Accounts Receivable Specialist Location: ThedaCare Corporate Job Description: Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare. Benefits, with a whole-person approach to wellness – - Lifestyle Engagement - e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support - Access & Affordability - e.g. minimal or zero copays, team member cost sharing premiums, daycare About ThedaCare! Summary : The Accounts Receivable Specialist is responsible for submitting accurate billing to appropriate payers and actively following up on claims to ensure timely adjudication and reimbursement. This role communicates directly with commercial, governmental, and other third-party payers, as well as patients, guarantors, family members, and internal medical staff, to resolve claim issues and manage accounts receivable efficiently. The specialist identifies and resolves denials, underpayments, payment delays, and no-response claims while ensuring compliance with payer requirements and regulatory standards. Job Description: KEY ACCOUNTABLITIES: - Reviews, analyzes, and processes billed claims for accuracy upon submission, including charges, subscriber data, diagnosis and procedure codes, late charges, and supporting documentation. - Submits claims in a timely manner in accordance with payer contracts, federal and state regulations, departmental standards, and form requirements. - Follows up directly with commercial, governmental, and other payers via phone, correspondence, and electronic systems to resolve unpaid, underpaid, denied, or rejected claims. - Identifies specific reasons for denials, underpayments, and payment delays; takes appropriate corrective action to secure reimbursement. - Prepares, drafts, and submits technical and clinical appeals as needed, ensuring accurate and complete documentation. - Re-bills accounts when new or corrected demographic, insurance, or third-party information is received and updates patient records accordingly. - Verifies insurance, payer, and patient demographic information for accuracy at registration and during account follow-up, entering verification data into billing systems as required. - Reviews internal and external reports to monitor claim status, payment variances, denial trends, and outstanding accounts. - Maintains thorough documentation of all account activity, including payer contacts, phone numbers, correspondence, and actions taken, within the host system and/or tracking tools. - Maintains a working knowledge of payer-specific requirements, contracts, and applicable federal and state regulations, applying them appropriately to account resolution. - Identifies trends and root causes of accounts receivable issues and communicates findings and recommendations to management. - Demonstrates initiative, effective problem-solving and analytical skills with the ability to determine appropriate collection strategies to resolve accounts. - Ability to meet productivity and quality standards. QUALIFICATIONS - One year previous experience in Revenue Cycle/Medical billing, follow up and collections or related degree/certification in Healthcare Management. - Proficiency in basic computer applications, including Microsoft Excel. - High School diploma or GED preferred. - Strong verbal and written communication skills. - Must be at least 18 years of age. PHYSICAL DEMANDS: - Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance - Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties WORK ENVIORNMENT - Climate controlled office setting with daily movement throughout the facility - Interaction with department members and other healthcare providers - Work schedule is remote, hybrid or in office. Scheduled Weekly Hours: 40 Scheduled FTE: 1 Location: ThedaCare Corporate Office - Neenah,Wisconsin Overtime Exempt: No Worker Shift Details: Days

Utilize research and payment reconciliation skills to address claim overpayments, resolve insurance refund requests, and manage misdirected payments, contributing to efficient financial operations within the healthcare sector.

Job Title: Accounts Receivable Specialist Reports To: Vice President of Operations & Integration Department/Location: Remote FLSA Status: Non-Exempt Direct Reports: None Company Overview ProSmile is the fastest growing dental organization on the East Coast and Midwest. Our premier DSO is led by world class dentists who understand what highly skilled dentists and dental professionals need to grow a practice while focusing on delivering the best in-class clinical care to their patients. We offer up-to-date equipment and technology, experienced and friendly staff, and dentists who truly care about their patients, as well as competitive pay and, where applicable, a benefits package that includes medical, dental, vision, 401(k), training, and career growth opportunities. Position Summary ProSmile is seeking a detail-oriented and experienced Accounts Receivable Specialist to join our finance team. The Accounts Receivable Specialist will be responsible for managing the accounts receivable process, including invoicing, collections, and reconciliation. This role requires strong analytical skills, excellent communication abilities, and a thorough understanding of accounts receivable principles and procedures. Duties and Responsibilities The duties include, but are not limited to: - Invoicing: Prepare and send accurate, timely invoices; verify pricing, terms, and discounts; distribute via appropriate channels. - Billing Disputes: Investigate and resolve billing issues, discrepancies, and customer inquiries; communicate to ensure timely payment. - Collections: Monitor aging reports, follow up on past-due accounts, and document collection efforts while coordinating payment arrangements. - Cash Application: Apply payments accurately, reconcile accounts, and resolve payment discrepancies. - Credit Management: Evaluate credit applications and limits; recommend approvals/adjustments and monitor risk. - Account Reconciliation: Reconcile sub-ledger to general ledger and resolve variances promptly. • Reporting: Generate and analyze AR reports, aging summaries, and performance metrics; provide updates to management. - Process Improvement: Identify and implement efficiencies, best practices, and automation to enhance AR processes - Perform miscellaneous job-related duties as assigned Qualifications - High School Diploma or GED is required. - Minimum of years of experience in accounts receivable or related finance roles. - Strong understanding of accounts receivable principles, practices, and procedures. - Proficiency in accounting software (e.g., QuickBooks, SAP) and Microsoft Excel. - Excellent communication and interpersonal skills, with the ability to interact professionally with customers and internal stakeholders. - Strong attention to detail and accuracy in data entry and reconciliation - Ability to prioritize tasks and manage time effectively in a fast-paced environment. - Experience with collections and negotiation techniques preferred. Physical/Mental Demands and Work Environment The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, fax machine and printer). The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may need to travel to healthcare practices. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate. The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee. Equal Employment Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads in provider and patient satisfaction. ProSmile values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged. ProSmile is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply. Company Safety We believe that the best care for our patients starts with the best care for our employees. ProSmile is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as needed and in accordance with CDC standards.

Role Description The Accounts Receivable Coordinator secures revenue by resolving discrepancies and contacting customers or physicians with outstanding billing/refund issues. Assists with various Accounts Receivable and/or collection tasks or directives, primarily manual billing preparation and aged receivables client outreaches. - Resolve outstanding collections while acting as a liaison for clients. - Create positive client relationships. - Identify delinquent accounts, insufficient payments, and communicate findings to clients. - Analyze and seek resolution of discrepancies or inquiries with Operations or Account Management teams. - Perform & apply client historical trend analysis/findings to invoice resolution and account maintenance. - Perform analysis, identify trends (cause & effect), and isolate improvements for ADP. - This task requires heavy research analysis with attention to finite detail across large datasets. - Manually create bulk invoices on a monthly or weekly basis for select clients. - This task requires advanced knowledge of Microsoft Excel/Google Sheets to merge select information from large data sets across multiple reports through formulas and formatting functions. - Analyze transaction detail history and client communications to advise management on forecasted cash collections. - Participates within a team setting toward collective monthly collection goals. - Other duties & special projects, as assigned and based on business needs. Qualifications - Associate's degree in Accounting or related Finance/Business degree required. - 3-5 years of experience in a professional accounting position. - 1+ year(s) in an AR billing and/or collections role. - Medical peer review or healthcare industry knowledge is a plus. - Business experience in a healthcare and/or insurance setting is a plus. Requirements - Strong numerical aptitude (Business Mathematics) in conjunction with advanced knowledge of spreadsheet software is required. - Attention to detail, organized, and ability to apply critical thinking to identify trends. - Excellent written and oral communication skills, and organization. - Adaptable time management skills to manage multiple simultaneous tasks to meet specific deadlines or goals. - Computer literacy and typing skills are essential. - Supply and support their own internet services. - Maintaining an uninterrupted internet connection is a requirement for work-from-home positions. - Long periods of sitting and computer work. Benefits - Comprehensive benefits package designed to support your well-being and peace of mind. - Medical, dental, and vision coverage for you and your family. - Voluntary life insurance options for you, your spouse, and your children. - Other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans. - Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. - Generous paid time off policy to relax and recharge. - 401k plan with a company match to help plan for your future. - Apple equipment and a media stipend are provided for remote workspace.