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AR Specialist
Location
Florida + 5 moreAll locations: Florida | North Carolina | Maryland | Pennsylvania | Tennessee | Virginia
Posted
32 days ago
Salary
$19 - $23 / hour
Seniority
Senior
Job Description
AR Specialist
• Responsible for all aspects of insurance follow-up and collections, including making telephone calls, accessing payer websites. • Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or with management to ensure process improvements are completed. • Owns performance and ensures consistent and timely communication for issues identified affecting reimbursement. • Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary; accurately and thoroughly document the pertinent collection activity performed. • Review the account information and necessary system applications to determine the next appropriate work activity. • Verify claims adjudication utilizing appropriate resources and applications. • Edit claims to meet and satisfy billing compliance guidelines for electronic submission. • Manage and maintain individual work list/inventory, complete reports, and resolve high priority and aged inventory. • Stay informed of changes with the procedures and laws for the specific insurance carriers or payers. • Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
Job Requirements
- Minimum of 3 years of experience in healthcare accounts receivable or revenue cycle
- Experience identifying and resolving insurance denials, including eligibility, authorization, medical necessity, and coding-related denials.
- Ability to manage an individual work queue while meeting productivity and quality expectations.
- Working knowledge of common denial trends, including modifier-related denials (e.g., Modifier 25, 59, RT/LT) and payer-specific billing requirements.
- Strong understanding of insurance denials, appeals, and claims follow-up processes
- Experience working with both government and commercial payers
- Ability to analyze EOBs, remits, and claim details to determine appropriate next steps
- Comfortable working independently in a remote environment while managing productivity expectations
- Strong attention to detail and organizational skills
- Effective written and verbal communication skills
Benefits
- Medical, Dental, and Vision insurance (effective the 1st of the month following start date)
- Short-term and long-term disability
- Voluntary life, critical illness, and hospital indemnity coverage
- Company-paid Basic Life and AD&D insurance
- Paid time off and paid holidays
- Retirement savings plan
- Employee discounts on cosmetic services and products
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