Insurance AR Specialist

Surgical Information Systems Careers•Alpharetta, GA

13h•Remote

About The Position

This is a remote position within the Revenue Cycle Services (RCS) team, which is expanding to support the company's continued success. The AR Specialist will play a crucial role in supporting the financial outcomes of clients by managing insurance accounts receivable for Ambulatory Surgical Centers and Clinics. This includes follow-up, denial resolution, and appeal submissions. The role offers the opportunity to join a collaborative, forward-moving company where contributions are valued and make a direct impact.

Requirements

Solid knowledge of medical billing processes, insurance guidelines, and the insurance appeals lifecycle.
Prior experience in healthcare insurance collections, preferably in an ambulatory or clinical setting.
Proficiency with computers and Windows-based software systems.
Strong written and verbal communication skills with excellent command of the English language.
Ability to work cooperatively and professionally with teammates, patients, and external partners.
Customer-focused mindset with the ability to represent the company positively to patients, insurance carriers, and the general public.
Must have a minimum of 50Mbps internet download speed to effectively run SIS Systems.

Responsibilities

Work assigned insurance accounts receivable with accuracy, efficiency, and a strong sense of ownership.
Proactively follow up on outstanding claims and insurance denials to ensure timely resolution.
Research, prepare, submit, and track insurance appeals, including ongoing appeal follow-up.
Communicate effectively with insurance representatives to resolve claim issues and obtain payment.
Apply strong organizational and time-management skills to prioritize daily workloads and meet deadlines.
Interpret managed care contracts, including fee schedules and allowable amounts, to support collection efforts.
Work confidently with non-participating providers and payer guidelines.
Maintain a clear understanding of the insurance collection process and apply best practices consistently.
Identify issues and resolve problems independently, using sound judgment and attention to detail.