Short Description: Our busy pediatric clinic is seeking an experienced Medical Insurance Accounts Receivable (A/R) Specialist to join our team. The ideal candidate will be responsible for managing outstanding insurance balances; resolving claims, denials, and discrepancies; reviewing billing statements; ensuring timely reimbursement; preparing reports; contributing to the improvement of our collection process; and maintaining detailed records. The successful candidate is detail-oriented, organized, and thrives in a fast-paced e-healthcare environment while providing exceptional support to the financial health of our practice.
Duties/Responsibilities:
· Continuously track appeals, denials, and underpayments, and initiate corrective actions and follow-ups as needed
· Investigate and resolve claim denials, rejections, and payment discrepancies
· Submit corrected claims, reconsiderations, and appeals with appropriate documentation
· Work aging reports to reduce outstanding accounts receivable
· Communicate with insurance companies, patients, and in-house departments to resolve payment issues
· Post insurance payments and contractual adjustments accurately
· Maintain accurate documentation of all account activity
· Meet department productivity, quality, and collection goals
· Verify insurance coverage and eligibility for all medical services
Skills/Qualifications:
- Proficient with EHR systems, Microsoft, Excel, and overall medical billing software
- Strong written and verbal skills involving insurers, patients, and teammates
- Ability to correctly investigate and resolve any discrepancies in a timely fashion
- A high level of accuracy while processing claims, documenting communications, reviewing accounts, and reconciling accounts
- OP experience is a plus
Pay: $18.00 - $22.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Experience:
Shift availability:
Ability to Commute:
- Arlington, TX 76014 (Preferred)
Work Location: In person
