Insurance Accounts Receivable Specialist I

Solaris Health Holdings LLC • Annapolis, MO

7d

About The Position

The Insurance Accounts Receivable Specialist I performs entry-level insurance billing and follow-up tasks to support timely and accurate reimbursement. The role includes submitting claims, reviewing basic denials, and following up on outstanding balances under supervision. The specialist learns established workflows, applies standard procedures, and escalates complex issues as needed.

Work may vary depending on affiliate or location needs and state requirements. The specialist works within assigned queues and uses CBO Pathways, payer websites, billing systems, and training materials to address unpaid or underpaid claims and authorization procedures. The position also involves communicating with providers, patients, coders, and other stakeholders while following departmental workflows, operational policies, compliance guidelines, and regulatory requirements.

The employee must follow Solaris Health and affiliated practice policies and the Solaris Health Code of Conduct, protect patient information in accordance with HIPAA, report suspected concerns or violations, and complete annual compliance training.

Requirements

• High school diploma or equivalent required.
• Excellent interpersonal and communication skills.
• Strong customer service orientation and a friendly, approachable demeanor.
• Dependability and punctuality.
• Ability to work independently and as part of a team.
• Cultural sensitivity and ability to interact respectfully with diverse populations.
• Skill in using computer programs and applications, including Microsoft Office.

Nice To Haves

• Previous experience in a customer service or healthcare setting preferred.
• Basic knowledge of medical facility layout and department functions; training is provided.

Responsibilities

• Perform assigned billing-related tasks, including data entry, claim review, charge review, and accounts receivable follow-up.
• Resolve entry-level insurance denials, including those involving medical records, eligibility, and coordination of benefits (COB).
• Complete daily work-queue tasks according to manager direction and established workflows.
• Use CBO Pathways, payer websites, billing systems, and training materials to determine appropriate actions for unpaid or underpaid claims and authorization procedures.
• Identify potential payer-requirement, provider-credentialing, or coding issues and escalate them to management as appropriate.
• Review reports to identify unpaid claims and potential revenue opportunities.
• Communicate with providers, patients, coders, and other stakeholders to support accurate and timely claims processing.
• Follow departmental workflows, operational policies, compliance guidelines, and regulatory requirements, including FGP and patient-confidentiality standards.
• Provide input on system edits, process improvements, policies, and billing procedures.
• Participate in meetings and workgroups, complete required training, and seek additional training when needed.
• Read and apply policies and procedures, coordinate work with team members, and explain processes clearly to others.
• Make system corrections and resubmit claims as needed to meet payer requirements.
• Follow ethical and legal requirements, Solaris Health and affiliated practice policies, HIPAA confidentiality standards, and reporting procedures; complete annual compliance training.
• Perform other position-related duties as assigned.

What This Job Offers

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