A/R Revenue Cycle Specialist

Job Summary

To resolve outstanding surgical claims and maximize reimbursement, the full-time A/R Revenue Cycle Specialist will manage medical collections, accounts receivables, and denial processing in a fully remote environment.

Key responsibilities:

• Timely follow-up and resolution on all outstanding A/R, including unpaid, underpaid, and denied claims
• Manage daily work queue to prioritize high dollar claim balances and review incoming insurance and patient correspondence
• Negotiate payment amounts with Third Party Administrators and recommend adjustments or refunds when applicable

Required qualifications:

• 2+ years of ambulatory surgery center (ASC) revenue cycle experience
• Ability to read and interpret insurance explanations of benefits and managed care contracts
• Intermediate computer proficiency in Microsoft Office, including Excel and Outlook
• Experience with Advantx, SIS, HST, or Waystar preferred
• High School Diploma or equivalent required