Accounts Receivable Specialist

Community Care Physicians•Town of Colonie, NY

18d•$20 - $30

About The Position

We are seeking a detail‑oriented and proactive AR Insurance Follow‑Up Specialist to join our revenue cycle team. This role focuses on managing outstanding insurance balances, with a strong emphasis on Medicare and primary care claims. The ideal candidate is experienced in navigating payer policies, resolving claim issues, and ensuring timely reimbursement.

Requirements

3–5 years of experience in medical billing or AR follow‑up, preferably in a primary care setting.
Strong knowledge of Medicare billing rules and payer requirements.
Familiarity with CPT, ICD‑10, and HCPCS coding.
Experience with electronic health record (EHR) and practice management systems.
Excellent communication, problem‑solving, and organizational skills.
Ability to work independently and manage competing priorities.

Nice To Haves

Experience with high‑volume AR follow‑up.
Knowledge of appeals processes and documentation requirements.
Strong analytical skills and attention to detail.

Responsibilities

Review and follow up on outstanding Medicare and Railroad Medicare claims; may provide coverage for other insurance payers as needed.
Investigate claim denials, rejections, and underpayments, and take corrective action when appropriate.
Communicate with payers to resolve claim issues and obtain claim status updates.
Submit corrected claims, appeals, and supporting documentation as required.
Monitor open A/R and prioritize accounts to reduce days in A/R.
Collaborate with billing, coding, and clinical teams to resolve documentation or coding discrepancies.
Maintain accurate notes and documentation within the practice management system.
Stay current on Medicare guidelines, payer policies, and regulatory changes.