A/R Specialist

Urgent Care Management or Joint Venture Partner•Newnan, GA

2d•Remote

About The Position

WellStreet Urgent Care is seeking an experienced Insurance Accounts Receivable (A/R) Specialist to join our Revenue Cycle team. In this role, you will be responsible for researching and resolving insurance claim issues, managing denied and unpaid claims, and ensuring timely reimbursement across our urgent care centers. If you have experience working insurance A/R work queues, appealing denials, researching payer requirements, and resolving claim issues, we'd love to hear from you.

Requirements

3+ years of experience in medical billing, insurance accounts receivable, denial management, or healthcare revenue cycle.
Hands-on experience with insurance claim follow-up and denial resolution.
Experience filing appeals, correcting claims, and resubmitting claims.
Experience communicating directly with insurance companies regarding unpaid claims.
Experience interpreting EOBs and remittance advice.
Knowledge of commercial insurance, Medicare, Medicaid, and third-party payer guidelines.
Experience using payer portals for claim research and follow-up.
Experience working in Epic or another healthcare billing/EMR system.

Nice To Haves

Urgent Care or outpatient billing experience.
Knowledge of CPT, HCPCS, ICD-10, and medical terminology.
Experience managing high-volume insurance A/R work queues.
Enjoys investigating complex claim issues and finding solutions.
Can independently manage a high-volume workload while maintaining accuracy.
Has exceptional attention to detail and documentation skills.
Communicates professionally with insurance representatives and internal teams.
Is organized, dependable, and thrives in a fast-paced healthcare environment.
Takes ownership of accounts through final resolution.

Responsibilities

Manage assigned insurance A/R work queues to ensure timely claim resolution.
Research and resolve insurance claim denials, rejections, and unpaid claims.
Analyze Explanation of Benefits (EOBs), remittance advice, and payer correspondence.
Submit claim corrections, reconsiderations, resubmissions, and appeals.
Contact commercial insurance carriers, Medicare, Medicaid, and other payers regarding outstanding claims and payment discrepancies.
Research claim issues related to eligibility, authorization, coding, billing edits, and payer guidelines.
Review and resolve front-end payer rejections and claim edit issues.
Document all account activity accurately within Epic and revenue cycle systems.
Identify denial trends and recommend process improvements.
Collaborate with coding, billing, and other Revenue Cycle teams to maximize reimbursement.