Job Summary:
We are seeking a detail-oriented and experienced Medical Accounts Receivable (AR) Specialist to join our healthcare billing team. The ideal candidate will be responsible for managing the financial aspects of patient accounts, with a focus on accurate and timely collection of outstanding payments from insurance companies and patients. This role requires a solid understanding of medical billing procedures, insurance claim processes, denial management, and payer regulations.

Responsibilities:

Monitor and manage the AR aging report to ensure timely follow-up and resolution of unpaid claims.
Submit claims to insurance carriers electronically and via paper, as needed.
Review and appeal denied or underpaid claims to maximize reimbursement.
Communicate with insurance companies, patients, and internal departments to resolve billing issues.
Post payments and adjustments accurately to patient accounts.
Analyze account activity and identify trends or recurring issues that affect collections.
Ensure compliance with HIPAA regulations and payer guidelines.

Qualifications:

High school diploma or equivalent; associate degree or medical billing certification preferred.
2+ years of experience in medical billing or accounts receivable, preferably in a healthcare setting.
Strong knowledge of ICD-10, CPT, and HCPCS coding and EOBs.
Familiarity with major insurance payers (Medicare, Medicaid, commercial).
Proficiency in medical billing software and Microsoft Office Suite.
Excellent communication, organizational, and problem-solving skills.

Requirements:

Must be able to pass a background check.

Job Type: Full-time.

**This is not a remote position.**

AR Specialist - Medical Billing