AR Follow Up Specialist

Job Description

Job Description

Description :

Position : AR Follow Up Specialist

Department : Revenue Cycle-9002

FLSA Status : Full Time; Exempt

Reports To : Billing Office Manager

JOB DESCRIPTION –

EngageMED is looking for a dedicated and meticulous AR Specialist to join our dynamic revenue cycle team.

The Accounts Receivable Specialist is a critical role responsible for the timely follow-up, collection, and resolution of outstanding medical claims from government and commercial payers. You will be instrumental in analyzing denial trends, preparing effective appeals, and maximizing our cash flow. If you have a deep understanding of the full medical billing lifecycle and thrive on solving complex claim issues, we want to hear from you.

Key Responsibilities

• Claim Follow-Up : Proactively manage and work aging reports, contacting insurance companies (e.g., Medicare, Medicaid, and commercial plans) to resolve unpaid or denied claims.
• Denial Management : Identify, analyze, and resolve root causes of denials (coding, authorization, medical necessity, etc.).
• Appeals Process : Prepare and submit clear, compelling appeals with necessary clinical documentation to secure payment.
• Payment Posting & Reconciliation : Review and post electronic and manual Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs), ensuring accuracy.
• Payer Research : Stay current on payer policy changes and reimbursement guidelines to minimize future claim errors.
• Reporting : Track and report on key AR metrics, identifying trends and recommending process improvements.
• Patient Accounts : Handle complex patient inquiries related to billing and outstanding balances when escalated from customer service or the clinic.

Qualifications

Required Skills & Experience

We offer a competitive compensation package, comprehensive benefits, and a supportive team culture that values expertise and growth.

Requirements :