Hospital Billing Follow-Up Specialist

A company is looking for a Hospital AR Follow Up specialist to manage aged hospital account receivables.

Key Responsibilities

Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable

Analyze denial trends and root causes, and prepare appeal documentation for denials and underpayments

Collaborate with internal teams to implement process improvements and maintain accurate documentation of payer interactions

Required Qualifications

Proven experience in AR follow-up for hospital billing, with knowledge of RARC and CARC codes

Expertise in Medicare, Medicaid, Managed Care, and Commercial payer processes

Deep understanding of federal / state billing guidelines and reimbursement methodologies

Proficiency in Excel for data analysis and reporting

High School degree or GED or equivalent experience