Insurance AR Specialist Level I - AR Position

Women's Health Arizona•Phoenix, AZ

11d

About The Position

The Insurance AR Specialist Level I supports the Ancillary Billing department by managing assigned accounts receivable worklists, reviewing billing exceptions, resolving outstanding balances, and following up on mammography-related accounts, AHCCCS adjustments, self-pay balances, non-covered documentation, IMQM messages, and claims that have not yet been billed. The role requires attention to detail, consistent worklist management, clear documentation, and timely escalation of barriers affecting billing, reimbursement, or account resolution. The position performs administrative and computer-based work in a professional office, clinic administrative, or approved remote-office setting. It involves frequent use of billing systems and other technology, regular communication and collaboration with internal stakeholders, and maintaining professionalism, confidentiality, and accuracy while working independently and as part of a team.

Requirements

Experience in medical billing, accounts receivable, revenue cycle, or a related healthcare administrative role is preferred.
Ability to review account details, identify discrepancies, and follow documented procedures accurately and consistently.
Working knowledge of insurance billing concepts, payer follow-up, adjustment workflows, and patient balance review is preferred.
Ability to learn and navigate billing systems, worklists, payer portals, Microsoft Outlook, Teams, and other department tools.
Strong written and verbal communication skills, including the ability to document clearly and professionally.
Strong organizational skills and ability to manage multiple worklists, priorities, and follow-up tasks.
Ability to maintain confidentiality and follow HIPAA, compliance, and company policy requirements.
Willingness to participate in ongoing training and adapt to updated workflows, payer requirements, and departmental priorities.

Responsibilities

Monitor and work assigned AR queues and billing worklists according to departmental priorities and established workflows.
Review mammography AR worklists, research account status, document follow-up activity, and identify accounts needing correction, escalation, or additional documentation.
Identify AHCCCS-related adjustment opportunities and route or process adjustments according to departmental guidance.
Review claims or encounters on never-billed worklists, determine why billing has not occurred, and coordinate next steps to move accounts forward.
Support non-covered service workflows by reviewing accounts that may require patient forms, documentation, or additional billing review.
Monitor and respond to IMQM messages related to billing or AR follow-up, documenting activity and communicating appropriately with internal stakeholders.
Assist with self-pay AR follow-up by reviewing outstanding balances, identifying account issues, and supporting resolution according to approved processes.
Participate in over-90-day AR training and apply learned workflows to accounts requiring aging review, escalation, or specialized follow-up.
Maintain accurate, concise, and professional notes in applicable systems to support account history and continuity of follow-up.
Escalate complex accounts, payer issues, system concerns, documentation gaps, or workflow barriers to the appropriate leader or subject matter expert.
Communicate professionally with internal team members, branch staff, and other departments to support AR resolution and billing accuracy.
Protect patient and organizational information by following confidentiality, HIPAA, and company compliance expectations.