A/R Specialist (Medical)
About The Position
The A/R Specialist is responsible for reviewing claims, following up with insurance carriers and patients, and reporting trends in accounts receivable to management. ESSENTIAL DUTIES AND RESPONSIBILITIES Process claims over 60-days in a timely manner Work assigned denials and correspondence Utilize clearinghouse and insurance portals to check claim status Identify and report trends detected to management Prepare corrected claims and appeals, as needed Process inbound and outbound calls as needed to insurance carriers Comply with all state and federal collections and HIPAA regulations Perform other job-related duties as assigned
Requirements
- Strong professional communication skills
- Detail-oriented with strong organizational skills
- Knowledge of managed care plans, insurance processes, and medical terminology
- Familiarity with reimbursement fee schedules (Medicare and Medicaid)
- Understanding of refund processes and requirements
- Ability to establish and maintain cooperative working relationships with staff
- Ability to prioritize tasks and manage multiple assignments simultaneously
- Proficiency with accounts receivable software, insurance portals, and Microsoft Office applications
- High school diploma or equivalent required
Nice To Haves
- Associate’s degree or higher preferred.
- Experience in Medicare A/R, commercial insurance, appeals, correspondence, and denials preferred.
Responsibilities
- Process claims over 60-days in a timely manner
- Work assigned denials and correspondence
- Utilize clearinghouse and insurance portals to check claim status
- Identify and report trends detected to management
- Prepare corrected claims and appeals, as needed
- Process inbound and outbound calls as needed to insurance carriers
- Comply with all state and federal collections and HIPAA regulations
- Perform other job-related duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
