JOB DESCRIPTIONÂ
Position: Â Insurance Accounts Receivable (AR) SpecialistÂ
Status: Â Full or Part Time PositionÂ
Purpose: This role is critical in ensuring timely and accurate reimbursement from payers, including commercial, government and third-party insurance carriers. Â The ideal candidate is experienced in insurance follow up-, denial management and payer communication with a deep understanding of the end -to-end billing processÂ
Responsibility, Skills, and Difficulty of Work: Â Â
- Â Follow up on unpaid or underpaid claims by contacting insurance companies via payer portals and phone callsÂ
- Review and interpret EOBs and remittance advice for accuracy and follow-upÂ
- Worked aged receivables and take appropriate action to resolve outstanding balancesÂ
- Identify and appeal denied or rejected claimsÂ
- Document all activity accurately and timely in the billing systemÂ
- Collaborate with billing, coding and demographics to prevent reoccurring issuesÂ
- Meet productivity and quality expectations on a daily/weekly basisÂ
- Communication clearly and concisely, orally and in writingÂ
- Ability to work independently with minimal supervisionÂ
- Accurately perform job within federal and payer guidelines and regulationsÂ
Education & Qualifications: Â Â
- High School Diploma
- Minimum of 2 years’ experience in medical billing and accounts receivable follow upÂ
- Experience with denials, appeals and EOBsÂ
- Self started with excellent attention to detail and time managementÂ
- Ability to thrive in a fast-paced, team-oriented environmentÂ
- Knowledge with insurance portals, payer guidelines and billing principalsÂ
- Certified Professional Biller preferred
Level of Authority: No supervisory responsibilities  Â
Reports To: Department Manager  Â
Classification: Non-exemptÂ
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