• 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 Billing, 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.

• Contact customers via phone or email in portfolio to secure payment. • Maintain collection plan tasks daily to manage past due accounts. • Follow up on payment arrangements and settlements • Provide overview of customer balances to senior leadership and recommendation of next steps. • Advocate customer needs/issues cross-departmentally.

Role Description We are looking for a highly detail-oriented Accounts Receivable Operations Specialist to join our growing Accounts Receivable team. This is not a collections position. You will become part of an established team responsible for executing critical daily operational tasks that keep our accounting processes running smoothly. Success in this role comes from consistency, accuracy, organization, and following documented procedures exactly as designed. Because many of the responsibilities are repetitive and time-sensitive, we're looking for someone who enjoys routine, takes pride in producing accurate work every day, and immediately communicates when something doesn't look right. Responsibilities - Execute daily Accounts Receivable operational tasks with a high degree of accuracy. - Follow established Standard Operating Procedures (SOPs) without deviation. - Complete repetitive daily processes while maintaining speed and precision. - Review work carefully to identify errors before they become larger issues. - Escalate questions, discrepancies, or process issues immediately. - Meet daily production goals and deadlines. - Maintain accurate documentation and records. - Work closely with the AR team to ensure work is completed on schedule. - Communicate proactively regarding workload, delays, or potential issues. - Assist with additional administrative and accounting support tasks as assigned. Qualifications - Previous administrative, accounting support, bookkeeping, or Accounts Receivable experience preferred. - Exceptional attention to detail. - Strong organizational and time management skills. - Ability to perform repetitive work accurately for extended periods. - Comfortable following detailed written procedures. - Reliable internet connection and quiet remote work environment. - Strong written and verbal English communication skills. - Ability to learn new software quickly. - Self-motivated and dependable with minimal supervision. - Proficient with Microsoft Excel and Google Sheets. - Experience with QuickBooks Online is a plus but not required. Requirements - Loves structure and organized processes. - Rarely makes the same mistake twice. - Notices details that others overlook. - Communicates issues immediately rather than waiting. - Takes ownership of their work. - Is dependable and consistent every single day. - Thrives in a team environment. - Enjoys checking items off a list and keeping work organized. - Understands that accuracy is just as important as speed. Benefits - Fully remote position. - Competitive hourly compensation ($4.00-$6.00 USD/hour). - Stable, long-term opportunity with a growing U.S. company. - Established team with documented processes and training. - Opportunities for growth based on performance. - Supportive leadership and collaborative team environment. - Consistent workload and long-term stability.

• This position provides analytical support for process improvement in reimbursement and resolution of account receivables in an assigned area. • The right candidate will be responsible for assisting the Assistant Director or Director in all aspects of the revenue cycle functions within the CBO. • The incumbent ensures policies and procedures are followed and effectively provide recommendations for changes. • In this role, you will interact with various internal and external contacts including MHS management and payers