Billing Accounts Receivable (AR) Follow-Up Representative

JOB TITLE: Billing Accounts Receivable (AR) Follow-Up Representative

REPORTS TO: Revenue Cycle Manager

DEPARTMENT/LOCATION: Clinical, On-Site

JOB CLASSIFICATION: Permanent, Full-Time, Non-Exempt.

REQUIREMENTS: 

LAST MODIFIED: 7/29/2026

POSITION SUMMARY

The Billing Accounts Receivable (AR) Follow-Up Representative is responsible for managing outstanding insurance and patient accounts to ensure timely and accurate reimbursement. This position investigates unpaid or underpaid claims, resolves claim denials, posts payments, manages unassigned funds, processes refunds, and collaborates with internal departments and external revenue cycle partners to optimize collections and reduce accounts receivable. The AR Follow-Up Representative serves as a resource for patients regarding billing inquiries while maintaining compliance with payer and regulatory requirements.

ESSENTIAL FUNCTIONS

·       Accurately post patient and insurance payments and resolve unapplied payments, payment discrepancies, underpayments, credit balances, and refunds.

·       Manage assigned accounts receivable work queues by researching, following up on, and resolving unpaid, denied, and underpaid claims through final adjudication.

·       Review EOBs, ERAs, payer contracts, and account activity to ensure accurate reimbursement and compliance with payer and organizational guidelines.

·       Coordinate corrected claims, appeals, reconsiderations, and supporting documentation as needed.

·       Respond to patient billing inquiries by phone and in person, providing clear explanations of account balances, insurance processing, and financial responsibilities.

·       Collaborate with providers, internal departments, and outsourced billing and coding partners to resolve billing, coding, and reimbursement issues.

·       Maintain accurate documentation of all account activity and ensure compliance with HIPAA, CMS regulations, payer requirements, and organizational policies.

·       Monitor productivity, quality, denial trends, and reimbursement issues, recommending process improvements and escalating recurring concerns as appropriate.

·       Initiate referrals and coordinate with finance department and billing company.

·       Participate in training, audits, special projects, and departmental initiatives while supporting team goals and maintaining established performance standards.

·       Perform other duties as assigned.

QUALIFICATIONS & REQUIREMENTS

·        Knowledge of medical billing, reimbursement, and accounts receivable processes.

·        Understanding of Medicare, Medicaid, commercial insurance, Workers' Compensation, and other payer guidelines.

·        Ability to interpret EOBs, ERAs, remittance advice, and payer correspondence.

·        Strong analytical and problem-solving skills.

·        Excellent customer service and communication skills.

·        Strong organizational skills with the ability to prioritize multiple tasks.

·        Proficiency with electronic medical records (EMR), practice management systems, and Microsoft Office applications.

·        Ability to work independently while collaborating effectively with interdisciplinary teams.

·        High school diploma or equivalent required.

·        Minimum of two years of medical billing, accounts receivable, or insurance follow-up experience preferred.

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WORKING ENVIRONMENT

This role is based in a fast-paced, patient-focused urology clinic where collaboration is key. Our team of physicians, nurses, and support staff work together in a modern facility equipped with an EHR system and on-site diagnostic services. The atmosphere is professional yet warm, with a shared commitment to delivering compassionate, high-quality care to a diverse patient population.  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually quiet.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Specific vision abilities required by this job include close vision and distance vision.  While performing the duties of this job, the employee is regularly required to talk or hear.  The employee is frequently required to sit; stand; walk; reach with hands and arms to stoop, kneel and crouch.

COMPANY OVERVIEW

OUR MISSION: To provide compassionate, world-class urologic care and exceptional experiences for our patients, employees and partners. 

OUR VISION:Curing the world of urologic disorders, one person at a time. 

OUR VALUES:At UCI, we are passionate about patient experience and making the healthcare journey from diagnosis through treatment as easy and stress-free as possible! Through unmatched integration and access for patients, partner hospitals and other physicians in the community, we provide world-class urologic care in an attentive environment where you are at the center of all we do.