AR Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
AR Specialist managing insurance follow-up, denial resolution, and collections activities for a healthcare revenue cycle team. Remote position available for residents in specified states only.
Responsibilities:
- Responsible for all aspects of insurance follow-up and collections, including making telephone calls, accessing payer websites.
- Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or with management to ensure process improvements are completed.
- Owns performance and ensures consistent and timely communication for issues identified affecting reimbursement.
- Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary; accurately and thoroughly document the pertinent collection activity performed.
- Review the account information and necessary system applications to determine the next appropriate work activity.
- Verify claims adjudication utilizing appropriate resources and applications.
- Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
- Manage and maintain individual work list/inventory, complete reports, and resolve high priority and aged inventory.
- Stay informed of changes with the procedures and laws for the specific insurance carriers or payers.
- Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
Requirements:
- Minimum of 3 years of experience in healthcare accounts receivable or revenue cycle
- Experience identifying and resolving insurance denials, including eligibility, authorization, medical necessity, and coding-related denials.
- Ability to manage an individual work queue while meeting productivity and quality expectations.
- Working knowledge of common denial trends, including modifier-related denials (e.g., Modifier 25, 59, RT/LT) and payer-specific billing requirements.
- Strong understanding of insurance denials, appeals, and claims follow-up processes
- Experience working with both government and commercial payers
- Ability to analyze EOBs, remits, and claim details to determine appropriate next steps
- Comfortable working independently in a remote environment while managing productivity expectations
- Strong attention to detail and organizational skills
- Effective written and verbal communication skills
Benefits:
- Medical, Dental, and Vision insurance (effective the 1st of the month following start date)
- Short-term and long-term disability
- Voluntary life, critical illness, and hospital indemnity coverage
- Company-paid Basic Life and AD&D insurance
- Paid time off and paid holidays
- Retirement savings plan
- Employee discounts on cosmetic services and products
Similar Jobs
AR Manager
AR Manager for The Pennant Group, Inc. managing revenue close cycle and supporting service operations in healthcare throughout the US.
Accounts Receivable, Collections Analyst
Accounts Receivable & Collections Analyst managing cash flow for a ticketing technology company. Responsible for monitoring receivables and driving timely collections in a remote role.
Senior Accounts Receivable Specialist
Senior Accounts Receivable Specialist managing billing and invoicing for government contracts. Collaborating across finance and operations teams to ensure compliance and timely collections.
Tuition Partner – Billing & Accounts Receivable
Tuition Partner responsible for accounts receivable and billing accuracy in educational institutions. Ensuring compliance and efficient operations while collaborating with teams and families.
Collections Specialist – Accounts Receivable
Collections Specialist for Accounts Receivable at Vercel. Owning cash application and collections processes while collaborating with global teams.
Collections Specialist – Accounts Receivable
Collections Specialist managing accounts receivable, contacting clients about payments, and maintaining records. Flexible work from home schedule to accommodate time zone differences.
Accounts Receivable Specialist, ESL
Accounts Receivable Specialist at ESL Easy Living handling customer payments and accounting records. Ensuring compliance and collaborating with internal teams for efficient operations.
Accounts Receivable Specialist
AR Specialist managing monthly invoicing and collections within the finance team at Wpromote. Seeking a detail-oriented candidate to ensure high levels of client service and timely payments.
TC-CS-CDR-SOAR Analyst – Manager
Join EY as a Manager in Threat Detection & Response Consulting, focusing on cybersecurity solutions. Collaborate with teams to enhance security orchestration and implement automation strategies.
Billing Assistant – Accounts Receivable
Billing Assistant managing remote accounts receivable for diverse clients. Responsible for maintaining billing accuracy and following up on payments in a fully remote setting.
Accounts Receivable Manager
Accounts Receivable Manager at Berry Law executing AR system for veteran clients. Ensures timely payments and communication, supporting both clients and attorneys in billing matters.
Accounts Receivable, Order Processing Officer
Accounts Receivable & Order Processing Officer managing high-volume transactions in retail and e-commerce. Supporting finance team with debtor management and order processing.
Accounts Receivable Claims Specialist – Healthcare
Accounts Receivable Specialist handling claims and ensuring payment from insurance payors at Ottobock Healthcare. Processing and resolving claims in a remote setting.
Accounts Receivable Specialist – Healthcare
Accounts Receivable Specialist ensuring services are paid by payors in healthcare. Process payments, handle claims, and provide excellent customer service.
AP/AR Clerk
Home-Based AP/AR Clerk handling various accounting responsibilities for a US-based business. Requires 1-3 years accounting experience and proficiency in QuickBooks and Excel.
Accounts Receivable Associate I
Accounts Receivable Associate managing collections for Netrix Global, focusing on IT solutions. Resolving billing issues and maintaining customer data accuracy.
Accounts Receivable Specialist
Accounts Receivable Specialist managing billing and collections for BlueSprig's Revenue Cycle team. Ensuring timely claims billing and effective follow-up with insurance companies.
Accounts Receivable Supervisor
Accounts Receivable Supervisor handling research and resolution of denied and underpaid insurance claims. Engaging with insurance companies and maintaining clear notations on patient accounts.
Accounts Receivable Specialist
Accounts Receivable Specialist ensuring operations efficiency and accuracy for a resort operations team. Processing payments, managing invoices, and collaborating with the collections team.
Accounts Receivable Specialist – RCM
Accounts Receivable Specialist for US Anesthesia Partners working on claims and denials. Collaborating with various payers and supporting AR processes with a focus on efficiency.