Accounts Receivable Specialist
- Claims Management: Monitor and follow up on unpaid and denied medical claims across a variety of payers (commercial, Medicare, Medicaid, etc.) to ensure timely reimbursement.
- Denial Resolution: Research, analyze, and resolve claim denials and underpayments by identifying root causes, correcting errors, submitting appeals, or providing additional documentation as needed.
- Account Reconciliation: Reconcile accounts receivable by posting adjustments and resolving discrepancies to maintain accurate financial records.
- Trend Analysis & Reporting: Generate and analyze A/R reports to identify patterns in denials, reimbursement delays, or system inefficiencies, and recommend process improvements.
- Collaboration: Partner with billing, coding, and compliance teams to ensure claims are processed accurately and efficiently.
- Compliance: Maintain strict adherence to HIPAA regulations, payer-specific guidelines, and company policies to ensure data integrity and patient confidentiality
- Experience: Minimum of 5 years of experience in medical billing or accounts receivable with a strong emphasis on insurance claim resolution and denial management.
- Knowledge: In-depth understanding of medical billing and coding principles (CPT, ICD-10, HCPCS) and payer reimbursement methodologies.
- Technical Skills: Proficiency with medical billing software; experience with NextGen Billing strongly preferred. Waystar Clearinghouse expertise required.
- Analytical Skills: Strong ability to interpret EOBs, remittance advice, and payer correspondence to resolve complex claim issues.
- Attention to Detail: Exceptional accuracy in data entry, financial reconciliation, and documentation.
- Communication Skills: Effective written and verbal communication skills to interact with payers, internal teams, and external stakeholders in a professional manner.
Recommended Jobs
Sales Executive-Restoration Construction
Premier $30M restoration company (backed by Private Equity) in Chandler, AZ that is seeking an Emergency Response Coordinator. This is a dynamic role to generate leads to enhance their fire division.…
Customer Success Manager
About Us At AssistIQ we are dedicated to creating a more efficient and transparent healthcare supply chain by fixing one of the core problems - providers lack accurate data and insights on the…
Tribal Engineer
Tribal Engineer STATUS : Permanent / Full Time / Exempt, 40 hrs. per week DEPARTMENT : Realty/Planning REPORTS TO : Vice-Chairman SALARY : $75,000 - $90,000 DOE DATE POSTED: 9/22/…
Condition Report Writer / Co-ordinator
We are seeking a Vehicle Condition Report Writer to join our team! You will work closely with the auction fleet lease department to image and report the condition of vehicles transported to the aucti…
Part-time Retail Sales Associate
General Mills is now hiring a part-time retail sales associate to be an in-store brand ambassador for Edgard & Cooper Pet Food! Edgard & Cooper (E&C) is an exciting NEW pet food brand in the U.S.…
Construction Engineer
Construction Engineer Position Description: The Construction Engineer at GCON will be responsible for assisting the project engineer, project manager, and project team with project documentation and …
Automotive AP/AR
Mercedes-Benz of Gilbert is a luxury brand automotive dealership. We are family owned and operated. We have an opening in our business office for a full-time AP/AR Clerk. Applicants must have prior au…
Roofing Supervisor - Roofing Company - Base Salary to 90k/year - Tucson, AZ
Roofing Supervisor - Roofing Company - Base Salary to 90k/year - Tucson, AZ Our client is a well-established and growing residential and commercial roofing company with over 30 years of experience…
Take Off Technician
KE&G Construction Inc., a 100% employee-owned company, is looking for a highly motivated and experienced Takeoff Technician to support and enhance our GPS and digital takeoff workflows. The Takeoff Te…
Full‑Stack Engineer II/Sr (React + Python)
Full‑Stack Engineer II/Sr (React + Python) Why Nuclearn.ai Nuclearn.ai builds AI‑powered software for the nuclear and utility industries - tools that keep critical infrastructure reliable, effic…