AR Specialist - Medical Billing
Job Description
Job Description
Job Summary:
We are seeking a detail-oriented and experienced Medical Accounts Receivable (AR) Specialist to join our healthcare billing team. The ideal candidate will be responsible for managing the financial aspects of patient accounts, with a focus on accurate and timely collection of outstanding payments from insurance companies and patients. This role requires a solid understanding of medical billing procedures, insurance claim processes, denial management, and payer regulations.
- Monitor and manage the AR aging report to ensure timely follow-up and resolution of unpaid claims.
- Submit claims to insurance carriers electronically and via paper, as needed.
- Review and appeal denied or underpaid claims to maximize reimbursement.
- Communicate with insurance companies, patients, and internal departments to resolve billing issues.
- Post payments and adjustments accurately to patient accounts.
- Analyze account activity and identify trends or recurring issues that affect collections.
- Ensure compliance with HIPAA regulations and payer guidelines.
Qualifications:
- High school diploma or equivalent; associate degree or medical billing certification preferred.
- 2+ years of experience in medical billing or accounts receivable, preferably in a healthcare setting.
- Strong knowledge of ICD-10, CPT, and HCPCS coding and EOBs.
- Familiarity with major insurance payers (Medicare, Medicaid, commercial).
- Proficiency in medical billing software and Microsoft Office Suite.
- Excellent communication, organizational, and problem-solving skills.
Requirements:
- Must be able to pass a background check.
Job Type: Full-time.
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