JOB DESCRIPTION
Position: Insurance Accounts Receivable (AR) Specialist
Status: Full or Part Time Position
Purpose: This role is critical in ensuring timely and accurate reimbursement from payers, including commercial, government and third-party insurance carriers. The ideal candidate is experienced in insurance follow up-, denial management and payer communication with a deep understanding of the end -to-end billing process
Responsibility, Skills, and Difficulty of Work:
- Follow up on unpaid or underpaid claims by contacting insurance companies via payer portals and phone calls
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Review and interpret EOBs and remittance advice for accuracy and follow-up
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Worked aged receivables and take appropriate action to resolve outstanding balances
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Identify and appeal denied or rejected claims
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Document all activity accurately and timely in the billing system
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Collaborate with billing, coding and demographics to prevent reoccurring issues
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Meet productivity and quality expectations on a daily/weekly basis
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Communication clearly and concisely, orally and in writing
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Ability to work independently with minimal supervision
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Accurately perform job within federal and payer guidelines and regulations
Education & Qualifications:
- High School Diploma
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Minimum of 2 years’ experience in medical billing and accounts receivable follow up
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Experience with denials, appeals and EOBs
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Self started with excellent attention to detail and time management
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Ability to thrive in a fast-paced, team-oriented environment
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Knowledge with insurance portals, payer guidelines and billing principals
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Certified Professional Biller preferred
Level of Authority: No supervisory responsibilities
Reports To: Department Manager
Classification: Non-exempt
