On-Site AR Follow Up Specialist
About The Position
EngageMED is looking for a dedicated and meticulous AR Specialist to join our dynamic revenue cycle team. The Accounts Receivable Specialist is a critical role responsible for the timely follow-up, collection, and resolution of outstanding medical claims from government and commercial payers. You will be instrumental in analyzing denial trends, preparing effective appeals, and maximizing our cash flow. If you have a deep understanding of the full medical billing lifecycle and thrive on solving complex claim issues, we want to hear from you.
Requirements
- 3+ years of dedicated experience in medical billing, specifically focused on Accounts Receivable and denial management.
- In-depth knowledge of healthcare claim forms (CMS-1500) and electronic submission processes.
- Proficiency in interpreting EOBs and ERAs.
- Solid understanding of medical terminology, CPT, ICD-10, and HCPCS coding principles.
- Experience utilizing an electronic medical record (EMR) system and medical billing software. (E-Clinical Works, Valant, Wound Expert)
- Exceptional organizational skills and keen attention to detail.
Responsibilities
- Claim Follow-Up: Proactively manage and work aging reports, contacting insurance companies (e.g., Medicare, Medicaid, and commercial plans) to resolve unpaid or denied claims.
- Denial Management: Identify, analyze, and resolve root causes of denials (coding, authorization, medical necessity, etc.).
- Appeals Process: Prepare and submit clear, compelling appeals with necessary clinical documentation to secure payment.
- Payment Posting & Reconciliation: Review and post electronic and manual Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs), ensuring accuracy.
- Payer Research: Stay current on payer policy changes and reimbursement guidelines to minimize future claim errors.
- Reporting: Track and report on key AR metrics, identifying trends and recommending process improvements.
- Patient Accounts: Handle complex patient inquiries related to billing and outstanding balances when escalated from customer service or the clinic.
Benefits
- Medical, Dental, and Vision Insurance
- 401(k) retirement plan with company match
- Generous Paid Time Off (PTO) and paid holidays
- Opportunities for professional development and training
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
11-50 employees
