Accounts Receivable (A / R) Specialist

Job Description

Job Description

Job Summary :

We are seeking a detail-oriented and experienced Accounts Receivable (A / R) Specialist to join our team. The ideal candidate will have a strong understanding of medical insurance processes, payer policies, and reimbursement procedures. This position is responsible for reviewing and resolving outstanding insurance balances, interpreting Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs), and working closely with insurance payers to ensure timely and accurate payments.

Key Responsibilities :

Review and work insurance A / R reports and follow up on unpaid or underpaid claims.

Analyze and reconcile payer ledgers and payment amounts to ensure accuracy.

Read and interpret EOBs and ERAs to identify denial reasons, payment discrepancies, or needed corrections.

Contact insurance payers via phone or portal to resolve claim issues, request reprocessing, or appeal denials.

Document all follow-up activities, status updates, and communications in the billing system.

Work closely with billing team to escalate recurring payer issues or trends.

Ensure compliance with HIPAA regulations and company policies in all interactions.

Maintain knowledge of insurance guidelines, coding updates, and reimbursement rules.

Requirements :

2+ years of experience in medical billing, A / R follow-up, or insurance claims resolution.

Strong understanding of insurance processes (commercial, Medicare, Medicaid, managed care).

Proficient in reading EOBs, ERAs, and payer remittance summaries.

Experience working payer A / R and resolving outstanding claims.

Excellent verbal and written communication skills for interacting with payers and internal teams.

Ability to work independently, manage time effectively, and prioritize tasks.

Familiarity with billing software and electronic health records (EHR) systems preferred.

Preferred Skills :

Experience with high-volume A / R follow-up.

Knowledge of CPT, ICD-10, and HCPCS coding.

Previous experience working with specific payers (e.g., Aetna, UnitedHealthcare, Blue Cross Blue Shield, Medicare).

BENEFITS :

401(k)

401(k) matching

Dental Insurance

Health Insurance

Life Insurance

Vision Insurance

SCHEDULE :

• 8-hour shift
• Monday-Friday
• In person-Roswell, Ga Location
WORK SETTING :
• Clinic
• Office