Role Description The Accounts Receivable Specialist plays a critical role in supporting the financial health of the organization by managing and following up on outstanding balances. This position is responsible for: - Maintaining and updating the daily collections spreadsheet - Ensuring timely follow-up on outstanding accounts throughout the day - Serving as a key resource within the Revenue Cycle department The ideal candidate will bring strong attention to detail, persistence, and excellent communication skills to help drive effective collections and support overall revenue operations. Responsibilities - Resolve patient account balances associated with insurance denial - Answer incoming insurance and practice calls as needed - Explain charges, services, and insurance billing questions - Ensure accuracy and verify completed medical records for clinical documentation - Submit, manage, and follow up on insurance claims using Net Health and Waystar - Investigate, appeal, and resolve denied or unpaid insurance claims - Review EOBs, ERAs, authorizations, referrals, medical records, and remittance advice to ensure accurate reimbursement - Monitor aging reports and perform timely follow-up to maximize collections - Document all claim activity accurately within the billing system - Research and correct registration, demographic, and insurance issues for clean claim submission - Communicate with insurance companies, providers, and internal teams to resolve billing issues - Collaborate with Coding, Appeals & Denials, Credentialing, Cash Posting, and Patient Accounts teams - Assist patients with billing questions and payment resolution as needed - Ensure compliance with HIPAA, CMS, OIG, payer guidelines, and professional coding standards - Analyze denial trends and report findings to leadership to improve reimbursement - Maintain productivity while managing multiple priorities in a fast-paced environment Qualifications - 2+ years of medical billing, accounts receivable, or revenue cycle experience preferred - Experience with ProFee insurance claims, denials, appeals, and collections - Proficiency with Net Health, Waystar, or similar billing/EMR systems - Knowledge of EOBs, ERAs, authorizations, referrals, medical records, and payer guidelines - Understanding of Medicare, Medicaid, commercial insurance, and the revenue cycle - Familiarity with medical terminology, CPT, ICD-10, and HCPCS - Strong analytical, organizational, and problem-solving skills with attention to detail - Excellent communication skills and ability to collaborate across teams - Ability to manage a high-volume workload and meet deadlines - Knowledge of HIPAA, CMS, and healthcare compliance - Proficiency in Microsoft Excel and other business software Benefits - Home office equipment provided - Comprehensive Benefit Package - 401k - PRO & Sick Leave - STD/LTD - Compensation Range for this position: $21-25/hour based on YOE

• The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. • The Medical Billing Specialist collaborates with patients, revenue cycle counterparts and work units, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims. • Reviews patient demographic and insurance information and confirms patient benefit details related to services provided by the clinic from insurance providers. • Obtains necessary medical documentation from clinicians to provide to insurance companies as required for review and prior authorization of treatment. • Documents authorization reference numbers in EMR and/or other systems. • Updates and maintains EMR and/or other systems based on documentation provided by physician/clinic for creation of medical claim and/or posting of self-pay charges to patient accounts. • Prepares electronic claim files for submission. • Monitors accepted/denied claims and updates claims as required for resubmission. • Compares transaction reports with daily schedules to ensure timely billing of all services provided each month. • Resolves and prepares paperwork for any credit balances and prepares statements for collection of outstanding patient balances. • Performs daily charge capture functions as outlined by each Clinic in a timely and appropriate manner. This includes but not limited to the actual data entry of charges per patient into the EMR platform, eIVF. • Ensures charge reconciliation to the schedule for all patients seen daily. • Ensures appropriateness of charges based upon services rendered and works in conjunction with Clinic leadership, RCM Leadership, and Coding Team to ensure such accuracy.

• Review and accurately code profee Transplant Surgery cases to maximize reimbursement in a timely manner. • Review and accurately code E/M visits, office procedures, and surgeries. • Able to work independently and research coding scenarios. • Coder is responsible for meeting our daily production goal and our quality goal of consistently averaging a 95% accuracy rate. • Attend conference calls as necessary to provide information and feedback. • Communicate with leadership on coding or documentation issues/trends. • Stay current on all coding guidelines (including specialty - specific guidelines) and maintain credentials as necessary. • Participate in coding department and education meetings. • Flexible to expand coding skill set into other Plastic Surgery subspecialties, or other specialties altogether. • Maintain confidentiality and protect sensitive information. • Other duties as assigned by leadership.

• Responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement • Expected to adhere to MedKoder’s internal coding policies and expectations set forth by department management • Must prioritize daily duties, multitask, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals • Review and accurately code profee Plastic Surgery cases to maximize reimbursement in a timely manner • Review and accurately code E/M visits, office procedures, and surgeries • Able to work independently and research coding scenarios • Responsible for meeting our daily production goal and our quality goal of consistently averaging a 95% accuracy rate • Attend conference calls as necessary to provide information and feedback • Communicate with leadership on coding or documentation issues/trends • Stay current on all coding guidelines (including specialty-specific guidelines) and maintain credentials as necessary • Participate in coding department and education meetings • Flexible to expand coding skill set into other Plastic Surgery subspecialties, or other specialties altogether • Maintain confidentiality and protect sensitive information • Other duties as assigned by leadership