A/R Specialist

Key Focus of the Role

This position supports the full Revenue Cycle by managing insurance claims, billing processes, claim follow-up, denial resolution, insurance verification, and patient billing inquiries. The ideal candidate should have experience working within a medical billing environment and understand the AR lifecycle from claim submission through reimbursement.

Responsibilities

• Billing for our Urgent Care Centers using our internal software
• Setting up insurance plans within our software.
• Performing insurance verification
• Following up on claims, including rerouting and resubmitting claims
• Working with the Revenue Cycle Management to identify & resolve issues related to billing, coding and the billing system and process flow
• Interfacing with clinic staff on billing & coding issues.
• Interfacing with patients on billing questions
• Interfacing with appropriate members of revenue cycle regarding coding or cash posting errors
• Daily completion of clearinghouse rejections
• Knowledge of third-party payors reimbursement

Minimum Qualifications

• 1+ years of experience in medical billing preferred
• Urgent Care Billing experience is a plus

Required Skills

• Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims
• Knowledge of medical terminology and billing practices.
• Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software
• Energy, enthusiasm, and the ability to work under pressure in a high volume, fast paced environment
• Ability to work within a team environment and maintain a positive attitude
• Excellent documentation, verbal, and written communication skills
• Extremely organized with a strong attention to detail
• Motivated, dependable, and flexible with the ability to handle periods of stress and pressure
• All other duties as assigned

Ideal Candidate Profile

The strongest candidates will have hands-on healthcare AR experience, understand claim denial management, be comfortable working payer accounts, possess strong insurance knowledge, and demonstrate success in collecting reimbursement and resolving billing issues in a fast-paced environment. Urgent Care or physician practice billing experience would be a significant advantage.

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