AR Specialist - In Office

Sanctuary Recovery Centers
  • Phoenix, AZ
  • Full-time
  • Quick Apply
9 days ago

Job Description

Position Summary:The Accounts Receivable (A/R) Specialist is responsible for managing the revenue cycle for behavioral health services, ensuring timely and accurate claims processing, follow-up, and resolution of denied or underpaid claims. This role requires expertise in healthcare billing, regulatory compliance, and reimbursement processes, with a strong emphasis on behavioral health services. The ideal candidate will be proficient in CollaborateMD, Kipu, and payer portals to optimize reimbursement and maintain accurate patient accounts. This Position is full time, on site in person Monday through Friday.Key Responsibilities:Process, review, and follow up on insurance claims using CollaborateMD and Kipu.Conduct thorough follow-up on unpaid or denied claims to ensure timely reimbursement.Investigate and resolve denied or unpaid claims through communication with insurance companies, patients, and internal teams.Post payments, adjustments, and refunds accurately.Prepare and submit appeals and targeted project files for denied claims.Identify problematic claim trends and contract violations, reporting findings to the Revenue Cycle Management (RCM) Manager.Contact payers regarding recoupment payments, overpaid accounts, and missing checks; initiate dispute processes as necessary.Review underpayments and overpayments, summarize findings, and report to the RCM Manager.Maintain detailed and organized records of billing activity and account resolution efforts.Update insurance information in patient accounts when necessary.Generate A/R reports and assist with month-end closing procedures.Work closely with clinical and administrative staff to resolve billing discrepancies.Ensure compliance with HIPAA, CMS guidelines, and industry regulations.Provide feedback to management and attend departmental meetings/conference calls.Perform other duties as assigned.Qualifications:High school diploma or equivalent required.5+ years of medical billing and A/R experience, preferably in behavioral health.Strong understanding of Arizona healthcare billing, payer guidelines, and compliance standards.Proficiency in CollaborateMD and Kipu is required; familiarity with ADS Medics Premier is preferred.Strong knowledge of HCPCS, CPT, ICD-10 coding, medical terminology, and insurance payers.Advanced proficiency in Microsoft Excel and Word.Excellent organizational, communication, and problem-solving skills.Ability to work independently in a fast-paced, high-volume environment.Ability to maintain confidentiality and adhere to HIPAA regulations.Must have a valid driver's license and be 18 years of age or older.

Numbers & Facts

LocationPhoenix, AZ
Job TypeFull-time

Skills

  • Accounting Closeunmatched
  • Accounts Receivableunmatched
  • Behavioral Healthunmatched
  • Billing Recordsunmatched
  • Claims Processingunmatched
  • Communication Skillsunmatched
  • Contact Managementunmatched
  • Content Management Systems (CMS)unmatched
  • Current Procedural Terminology (CPT)unmatched
  • Driver's Licenseunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Insuranceunmatched
  • Healthcareunmatched
  • Healthcare Common Procedure Coding System (HCPCS)unmatched
  • High School Diplomaunmatched
  • ICD-10unmatched
  • Insuranceunmatched
  • Insurance Claimsunmatched
  • Maintain Complianceunmatched
  • Medical Billingunmatched
  • Medical Codingunmatched
  • Medical Recordsunmatched
  • Medical Terminologyunmatched
  • Microsoft Excelunmatched
  • Microsoft Wordunmatched
  • Organizational Skillsunmatched
  • Problem Solving Skillsunmatched
  • Reconciliationunmatched
  • Regulationsunmatched
  • Regulatory Complianceunmatched
  • Reimbursementunmatched
  • Reliability Centered Maintenanceunmatched
  • Revenue Managementunmatched
  • Time Managementunmatched
  • Trend Analysisunmatched

Be found by employers

5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

Level up your application

Professional resume templates

Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

Free resume templates

Free resume builder

Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

Free resume builder