AR Specialist

Three Crosses Regional Hospital • Las Cruces, NM

57d

About The Position

If you're looking for a place to call home and grow, Three Crosses Regional Hospital is looking for you! We are looking for Accounts Receivable Specialist to join our Team that is committed to clinical excellence and building a patient-centered culture. Three Crosses Regional Hospital is an advanced independent healthcare organization led by a local team of professionals dedicated to high quality patient care and being the first choice of patients and providers in the communities we serve. Job Summary The Accounts Receivable (AR) Specialist is responsible for ensuring that all payments from payors align with contracted rates and hospital policies. This role includes managing contract management tools, identifying and addressing underpayments and denials, preparing and submitting appeals, and collaborating with payors to ensure timely and accurate claim resolution. The AR Specialist upholds strict ethical standards, acts in the best interests of Three Crosses Regional Hospital, and supports the organization’s mission, vision, and values.

Requirements

• High school diploma or equivalent required; associate degree in business, finance, or healthcare administration preferred
• Minimum of 1year experience in healthcare accounts receivable, billing, or revenue cycle.
• Strong understanding of payor contracts, claim adjudication, and denial management.
• Excellent analytical, organizational, and communication skills.
• Ability to work independently and collaboratively in a fast-paced healthcare environment.
• Must meet Employee Health Requirements

Responsibilities

• Utilize contract management tools to review and monitor payor payments for accuracy and compliance with contracted rates.
• Identify denials and underpayments; prepare and submit appeals when necessary.
• Collaborate with insurance providers to resolve discrepancies and ensure correct claim reimbursement.
• Analyze denial trends and work with leadership and other departments to develop and implement corrective measures.
• Contact insurance companies to verify claim status and process for both primary and secondary coverage.
• Process adjustments and write-offs according to policy.
• Update the Electronic Medical Record (EMR) system with accurate and current claim statuses.
• Participate in departmental and staff meetings as required.
• Perform other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees