The AR Specialist is responsible for billing and follow-up of accounts according to documented procedures. Includes but is not limited to: following up on claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts, and maintaining up to date account information.
Essential Responsibilities:
- Monitors claim status and records in system daily for commercial insurance billing.
- Ensure timely collection of outstanding A/R and perform a variety of clerical and accounting functions to resolve billing issues of submitted claims
- Review EOBs, assist in verifying patient coverage if needed, and assist with patient billing inquiries through a billing queue
- Conducting outbound calls to insurance companies and/or patients to reconcile account issues and outstanding account balances
- Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed.
- Handles correspondence from payers to ensure all information required for claim processing is provided.
- Review and resolve credit balances or unassigned money remaining on an account.
- Provides customer service and follow through on account questions.
- Assists with Special Projects as needed.
Education and/or Experience:
- High School Diploma or equivalent; college preferred
- 1-3 yrs of experience with Receivables /collections in a healthcare setting is required
- Strong telephonic communication skills
Why You'll Love Working Here – Our Amazing Benefits:
🌟 Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE employee only healthcare coverage option is also available.
👨👩👧👦 Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family.
🤱 Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most.
🌴 Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose!
💼 Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years.
💳 Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being.
💚 Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck.
🙌 Rewards for Connections: Earn extra money with our Employee Referral Program—your network is invaluable!
📚 Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development.
🧘 Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness.
💡 Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them.
🐾 Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.
