Insurance Accounts Receivable Representative
Full-time
Description
We are looking for a full-time Insurance Accounts Receivable Representative to join our top notch team of professionals!
Hours will be Monday-Friday 8 am - 5 pm
Overview:
We are seeking an experienced Insurance AR Representative with a solid understanding of payer guidelines, denial management, and appeals processes. The ideal candidate will be proficient in working claims in Athenahealth (Athena) , comfortable interpreting Explanation of Benefits (EOBs) , and capable of resolving insurance claim denials efficiently and accurately.
Job Duties:
- Follow up on outstanding insurance claims to ensure timely payment.
- Review and analyze EOBs to identify underpayments, denials, or discrepancies.
- Prepare and submit effective appeals for denied or incorrectly paid claims.
- Maintain current knowledge of payer policies, guidelines, and billing requirements.
- Collaborate with internal teams to resolve coding or billing errors.
- Document all follow-up activity and payer communications accurately in the system.
- Monitor aging reports and prioritize high-dollar and time-sensitive claims.
Requirements
Job Qualifications:
- 2+ years of experience in insurance AR, billing, or claims follow-up in a medical practice or healthcare setting.
- Proven experience in appealing denied claims is required.
- Strong understanding of payer-specific rules, policies, and reimbursement guidelines.
- Athenahealth system experience strongly preferred.
- Ability to read and interpret EOBs and remittance advice.
- Excellent written and verbal communication skills.
- Strong attention to detail and organizational skills.
- Ability to work independently and manage a high-volume workload.
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