AR Specialist

Capitol Imaging Services • Metairie, LA

2d • Remote

About The Position

The Medical Accounts Receivable (A/R) Revenue Specialist manages and optimizes the healthcare billing lifecycle to support accurate, timely reimbursement. The role serves as a liaison between internal teams, vendor partners, insurance payers, and patients, with a focus on denial resolution, A/R aging follow-up, and revenue integrity. The Specialist works to maximize cash flow while ensuring compliance with payer requirements and organizational policies.

Requirements

• High school diploma or equivalent.
• 1–3 years of experience in medical billing and collections, accounts receivable or revenue cycle management, and healthcare payer follow-up and denial resolution.
• Proficiency with Practice Management Systems and Electronic Health Records (EHR/EMR).
• Strong working knowledge of Microsoft Office, particularly Excel for reports and aging analysis, and SharePoint.
• Working knowledge of medical terminology, CPT and ICD-10 coding, and payer guidelines and reimbursement rules for Medicare, Medicaid, and commercial insurance plans.
• Strong analytical and problem-solving skills.
• Exceptional attention to detail and accuracy.
• Effective written and verbal communication skills.
• Ability to work collaboratively with internal teams and external vendor partners.
• Sound judgment related to financial adjustments and account resolution.

Nice To Haves

• Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, or a related field.

Responsibilities

• Partner with external billing vendors to address claim rejections and payer requests for clarification.
• Guide and provide feedback to vendor partners on claim corrections, rework, and resubmissions.
• Review escalated accounts requiring internal oversight or final resolution.
• Work with vendor partners to identify denial trends, recurring payer issues, and root causes.
• Provide feedback and strategic direction on appeal approaches and payment resolution tactics.
• Authorize final adjustments after appeal opportunities have been exhausted, ensuring appropriate documentation and compliance.
• Recommend process improvements to reduce future denials.
• Proactively work A/R aging reports for accounts 30, 60, and 90+ days old to identify unpaid or underpaid claims.
• Initiate payer tracers and follow-ups to secure claim adjudication and payment.
• Monitor high-risk and high-dollar accounts to prevent revenue leakage.
• Accurately post and reconcile insurance and patient payments.
• Transfer payments to patient balances when appropriate and process patient refunds in compliance with policy.
• Assist with account reconciliations and resolving discrepancies.
• Liaise between patients and insurance payers to resolve billing questions.
• Explain Explanation of Benefits (EOBs), patient responsibility, and out-of-pocket costs.
• Communicate professionally and empathetically by phone with patients and payer representatives.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED