AR Specialist / Claims Denial Specialist

Your Health Organization•Columbia, SC

3d•Onsite

About The Position

We are seeking a qualified candidate to fill our AR Specialist position to assist with all financial operational needs for our Columbia patients. The Business Office Manager is responsible for overseeing and optimizing the financial operations within the organization, with a particular focus on revenue cycle management. This role involves managing accounts receivable, ensuring timely and accurate billing, and coordinating with various departments to facilitate efficient financial processes. The AR Specialist works closely with regional leadership to support the organizations financial health and compliance with relevant regulations. Must have prior experience with Claims and Insurance Denials This position will be working in the Corporate office daily. This is a full-time, salary-based 8 -hr position Monday-Friday (8:00AM-5:00PM). About We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care. Why Choose a Career at Your Health? Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees. What Are We Looking For? Your Health is currently looking for a Business Office Manager to join our growing Primary Care family. A successful Business Office Manager will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions. The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s)

Requirements

High school diploma or equivalent and associate degree required.
Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively.
Ability to manage and demonstrate effective leadership skills.
Should demonstrate strong interpersonal and communication skills under all conditions and circumstances.
Ability to foster a cooperative work environment and work collaboratively with other department heads, leadership, and key stakeholders.
Strong analytical and problem-solving skills.
Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
Ability to read and communicate effectively.
Strong written and verbal communication skills.
Basic computer knowledge.
Must be able to work flexible hours and travel between offices, facilities, etc.
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working condition.

Nice To Haves

Bachelors degree in business administration, health care administration, human resources, or a related field preferred.

Responsibilities

Monitor and validate patient insurance for assigned regions utilizing the specific software and reports.
Answer patient and employee questions related to, but not limited to, copayments, insurance, billing, collections, coverage, etc.
Assist with cash and insurance collections.
Provide assistance to statewide Accounts Receivable team.
Responsible for ongoing insurance validation.
Provide critical financial information for new patients and clients.
Update patient financial information including current primary and secondary insurances.
Monitor and report on key revenue cycle metrics, identifying trends and areas for improvement.
Perform audits on Care Management patients.
Assist patients with billing inquiries, payment plans, and financial assistance options.
Provide support to staff in navigating billing software and resolving patient financial concerns.
Foster a culture of exceptional customer service and patient-centered care within the office.
Serve as a liaison between the office staff and regional leadership, ensuring clear communication and coordination.
Assist with any service suspensions or discharges.
Work with your team to resolve patient insurance issues and determine the appropriate action for upcoming appointments.
Participate in coaching calls.
Perform other duties as requested or required, at the sole discretion of the Company.