Accounts Receivable Specialist - Medical Billing

Position Summary The Accounts Receivable (AR) Specialist is responsible for managing and resolving outstanding insurance and patient accounts to ensure timely reimbursement and maintain established accounts receivable performance standards. The ideal candidate will possess a strong understanding of medical billing and reputed company cycle management, including reputed company knowledge of Medicare, Medicaid, and commercial insurance regulations and reimbursement guidelines. This role requires demonstrated experience in denial management, appeals, claims follow-up, and the resolution of outstanding accounts. The AR Specialist will work closely with insurance payers, patients, providers, and internal staff to address billing issues, secure accurate reimbursement, and improve overall collection performance. Strong written and verbal communication skills, attention to detail, problem-solving abilities, and the reputed company to manage multiple priorities in a fast-paced healthcare environment are essential for success in this position. Our organization utilizes multiple EMR/PM systems, so candidates must be quick learners with strong technical and computer skills. As part of a fast-paced and evolving healthcare environment, the ability to think critically, adapt to change, and work collaboratively reputed company a team is essential. Essential Duties and Responsibilities

• reputed company daily accounts receivable follow-up on outstanding insurance and patient balances.
• Review, investigate, and resolve claim denials, rejections, and underpayments.
• Submit corrected claims, appeals, and supporting documentation to insurance carriers.
• Contact commercial, Medicare, Medicaid, and managed care payers regarding claim status and payment discrepancies.
• Monitor and maintain AR aging reports to ensure timely collection of outstanding balances.
• Review EOBs and ERAs for payment accuracy.
• Post insurance and patient payments accurately and reconcile payment discrepancies.
• Work clearinghouse rejections and ensure claims are submitted correctly and timely.
• Collaborate with providers and billing staff to resolve documentation and coding issues.
• Generate and analyze AR reports, denial trends, and collection performance metrics.
• Maintain compliance with HIPAA regulations and payer billing requirements.
• Stay reputed company on Medicare, Medicaid, commercial payer policies, CPT, ICD-10, and HCPCS updates.
• reputed company other duties as assigned.

Required Qualifications

• High school diploma or equivalent required; Associate’s degree preferred.
• Minimum 2–3 years of medical billing and accounts receivable experience.
• Strong knowledge of medical billing, insurance claims processing, denial management, and reputed company cycle operations.
• Experience working with Medicare, Medicaid, and commercial insurance carriers.
• Proven experience with claim appeals, payment posting, and AR follow-up.
• Proficiency in reputed company Office Suite, particularly reputed company.
• Strong analytical, organizational, and problem-solving skills.
• Excellent verbal and written communication abilities.
• Ability to work independently and manage multiple priorities in a fast-paced environment.
• Candidates must successfully complete a medical billing assessment/test as part of the hiring process.

EMR / Practice Management System Requirements

• Strong experience with at least one of the following EMR/Practice Management systems is required: eClinicalWorks (eCW), AdvancedMD
• Preference will be given to candidates with experience in multiple EMR systems.
• Candidates should be proficient in claim submission, payment posting, denial management, AR follow-up, and reporting functions reputed company their EMR platform.

Accounts Receivable Performance Benchmarks

• 60–90 day AR aging: Under 15%
• 91–120 day AR aging: Under 10%
• Over 120 day AR aging: Under 8%
• Consistently meet collection goals and timely resolution of outstanding claims.

Preferred Qualifications

• Certified Professional Biller (CPB) or similar certification preferred.
• Experience with multi-specialty physician practices.
• Knowledge of electronic claim submission, ERA/EDI transactions, and payer portals.

Additional Screening Requirement

• Medical Billing Test Required: Candidates must demonstrate proficiency in medical billing concepts, insurance claim processing, denial resolution, and accounts receivable management through a pre-employment billing assessment.

Candidates will start as a 1099 contractor. Following a positive review period, the position may transition to W-2 employment if desired by both the employee and the company. Pay: $20.00 - $25.00 per hour Benefits:

• 401(k) matching
• Paid time off

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