Insurance Accounts Receivable (AR) Specialist

Job Description

Job Description

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
• Review and interpret EOBs and remittance advice for accuracy and follow-up
• Worked aged receivables and take appropriate action to resolve outstanding balances
• Identify and appeal denied or rejected claims
• Document all activity accurately and timely in the billing system
• Collaborate with billing, coding and demographics to prevent reoccurring issues
• Meet productivity and quality expectations on a daily / weekly basis
• Communication clearly and concisely, orally and in writing
• Ability to work independently with minimal supervision
• Accurately perform job within federal and payer guidelines and regulations

Education & Qualifications :

Level of Authority : No supervisory responsibilities

Reports To : Department Manager

Classification : Non-exempt

Full-Time

401(k) Match Plan

Health Benefits

Paid Time Off