AR Specialist

United Vein & Vascular Centers•Tampa, FL

About The Position

United Vein & Vascular Centers is seeking an experienced medical Accounts Receivable professional to manage assigned accounts and work claims through resolution, particularly for specialty lines of business including OBL and Wound Care. The role focuses on investigating complex, unpaid, and denied claims; identifying payer trends; resolving outstanding receivables; and supporting improvements in accounts receivable performance. The specialist partners with Revenue Cycle leadership and internal and external stakeholders to communicate findings and recommendations. The position also involves reviewing medical documentation and coverage guidelines, processing correspondence, and protecting patient information in accordance with HIPAA, company policies, and applicable regulations.

Requirements

At least 3 years of Accounts Receivable experience in a medical setting.
Strong knowledge of medical billing, medical terminology, and insurance payer requirements.
Experience reviewing and resolving unpaid and denied claims.
Ability to read and understand explanations of benefits (EOBs) and medical benefits.
Strong Microsoft Excel skills and proficiency with Microsoft Office.
Exceptional attention to detail and ability to manage multiple priorities.
Excellent written and verbal communication skills.
Ability to communicate payer trends, findings, and recommendations effectively.
Dependability, accountability, and a collaborative, team-focused approach.

Nice To Haves

Knowledge of eClinicalWorks.

Responsibilities

Follow up with insurance carriers on unpaid and denied claims and work accounts through resolution.
Review assigned accounts and determine appropriate next steps, including appeals and claim resubmissions.
Investigate outstanding accounts receivable and help identify recurring payer trends.
Support special projects and studies designed to resolve outstanding accounts receivable.
Review and process incoming correspondence, including refund requests.
Compare progress notes with LCDs and applicable medical coverage guidelines.
Review medical documentation for medical necessity.
Support the AR Manager in presenting payer trends and denial insights to internal and external partners.
Build effective working relationships across teams and contribute to a positive, collaborative environment.
Protect patient information and maintain confidentiality in accordance with HIPAA, UVVC policies, and applicable regulations.