Insurance AR Specialist

Pain Specialist of America LLC•Austin, TX

just now

About The Position

Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations. We are seeking a detail-oriented and experienced Insurance Accounts Receivable (AR) Specialist to join our team. The ideal candidate will have extensive experience in handling professional claims for pain management practices and Ambulatory Surgery Center (ASC)/institutional claims. This position is critical in ensuring accurate and timely resolution of outstanding claims, payment posting, and follow-up with insurance companies.

Requirements

Minimum of 3 years of experience in insurance AR, specifically with pain management and ASC claims.
Strong knowledge of professional billing processes, CPT, ICD-10, and HCPCS coding.
Familiarity with payers such as Medicare, commercial insurance, and workers' compensation.
Proficiency in medical billing software (e.g., eClinicalWorks, HST, Waystar and Trizetto preferred.).
Advanced knowledge of Excel and ability to interpret data reports.
Excellent analytical and problem-solving skills.
Strong communication skills, both written and verbal.
Ability to manage multiple tasks with a high level of accuracy and efficiency.

Responsibilities

Submit, monitor, and manage professional and ASC claims to ensure timely reimbursement.
Review claims for accuracy, ensuring compliance with payer requirements.
Address and correct claim denials and rejections promptly.
Conduct follow-up with insurance carriers to resolve unpaid or incorrectly paid claims.
Research and resolve discrepancies in payment and identify trends in denials or delays.
Verify insurance benefits and eligibility as needed for accurate billing.
Reconcile accounts receivable and maintain accurate records of transactions.
Post payments and adjustments accurately in the system.
Generate and review aging reports to prioritize collections efforts.
Ensure compliance with all applicable billing regulations, HIPAA guidelines, and payer policies.
Maintain accurate and up-to-date documentation of all interactions with payers and patients.
Work closely with clinical staff, coding specialists, and payers to resolve billing and payment issues.
Provide regular updates to management on AR performance, trends, and challenges.