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Benefits:
- 401(k)
- Bonus based on performance
- Competitive salary
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Job Summary:
Digestive & Liver Disease Consultants is seeking an experienced Senior Medical Accounts Receivable (AR) & Revenue Cycle Specialist with strong expertise in Gastroenterology, Endoscopy, Ambulatory Surgery Center (ASC), and Anesthesia billing operations. The ideal candidate must possess deep knowledge of insurance follow-up, denial management, collections, and revenue cycle workflows within specialty healthcare practices.
Digestive & Liver Disease Consultants is seeking an experienced Senior Medical Accounts Receivable (AR) & Revenue Cycle Specialist with strong expertise in Gastroenterology, Endoscopy, Ambulatory Surgery Center (ASC), and Anesthesia billing operations. The ideal candidate must possess deep knowledge of insurance follow-up, denial management, collections, and revenue cycle workflows within specialty healthcare practices.
Key Responsibilities:
- Manage and oversee AR and insurance follow-up operations for GI, Endoscopy, ASC, and Anesthesia services.
- Analyze aging reports and aggressively resolve outstanding claims and denied accounts.
- Handle denials, underpayments, appeals, claim corrections, and payer escalations.
- Monitor reimbursement trends, payer turnaround times, and collection performance.
- Coordinate with billing teams, providers, and operational leadership regarding AR performance and revenue optimization.
- Identify billing issues, revenue leakage, and workflow gaps impacting collections.
- Review claim status, payment posting discrepancies, and unresolved balances.
- Ensure timely follow-up on Commercial, Medicare, Medicaid, and Managed Care claims.
- Prepare AR, collections, and operational reports for leadership review.
- Support process improvement and revenue cycle optimization initiatives.
- Maintain compliance with payer guidelines and healthcare billing standards.
- Perform additional operational or administrative responsibilities as assigned.
Requirements
- 8–10 years of experience in Medical AR, Revenue Cycle Management, or Insurance Follow-Up.
- Mandatory experience in Gastroenterology, Endoscopy, ASC, and Anesthesia billing workflows.
- Strong understanding of denials management, appeals, collections, EOB analysis, and aging resolution.
- Experience handling specialty physician practice and surgery center revenue cycle operations.
- Ability to manage high-volume AR accounts independently and efficiently.
- Strong analytical, organizational, and communication skills.
- Experience with eClinicalWorks (eCW) EMR system is preferred.
- Proficiency in Excel, reporting, and operational tracking preferred.
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