AR Specialist - Healthcare
About The Position
The AR Specialist is responsible for billing and follow-up of accounts according to documented procedures. This includes, but is not limited to, following up on claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts, and maintaining up-to-date account information. The role involves monitoring claim status, ensuring timely collection of outstanding A/R, resolving billing issues, reviewing EOBs, verifying patient coverage, assisting with patient billing inquiries, conducting outbound calls to insurance companies and/or patients, facilitating and initiating appeals to insurance companies, handling payer correspondence, and resolving credit balances. The specialist will also provide customer service and assist with special projects.
Requirements
- High School Diploma or GED, required.
- At least 1 year of experience with receivables/collections in a healthcare setting is required.
- Strong telephonic communication skills.
Nice To Haves
- College or accounting training preferred.
Responsibilities
- Monitors claim status and records in system daily for commercial insurance billing.
- Ensure timely collection of outstanding A/R and perform a variety of clerical and accounting functions to resolve billing issues of submitted claims.
- Review EOBs, assist in verifying patient coverage if needed, and assist with patient billing inquiries through a billing queue.
- Conducting outbound calls to insurance companies and/or patients to reconcile account issues and outstanding account balances.
- Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed.
- Handles correspondence from payers to ensure all information required for claim processing is provided.
- Review and resolve credit balances or unassigned money remaining on an account.
- Provides customer service and follow through on account questions.
- Assists with Special Projects as needed.
Benefits
- Comprehensive Health Coverage: Medical, dental, and vision plans
- Complimentary basic life insurance
- Employee Assistance Program
- Long-term disability insurance
- FREE or low-cost employee only healthcare coverage option
- Comprehensive fertility benefits
- Adoption assistance
- Surrogacy support
- Generous maternity, paternity, and partner leave
- 18 days of PTO annually
- 11 paid holidays
- One floating holiday
- 401(k) plan, featuring a competitive company match
- Lifestyle Spending Account
- Health Savings Account (HSA) with regular employer contributions
- Employee Referral Program
- Continuing education reimbursement
- Dedicated time off for professional development
- Free premium Calm Health app subscription
- Additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
