AR Specialist

Job Summary

Working remotely in a full-time capacity, the AR Specialist will manage the full lifecycle of claims for physician billing, including eligibility verification, claim submission, and accounts receivable follow-up to ensure timely resolution and maximize revenue.

Key responsibilities:

• Verify insurance coverage and benefits, document details, and determine payer order in accordance with coordination of benefits rules
• Submit clean claims directly to payers and resolve front-end claim edits and rejections at the source system level
• Work aged accounts receivable and manage payer follow-up to analyze denial trends and drive claims toward payment

Required qualifications:

• High School Diploma or GED; CRCR or CRCS certification preferred
• 3-5 years of experience in hospital and/or physician revenue cycle, with expertise in at least two key areas
• Hands-on experience submitting claims directly to payers via Medicare DDE/FISS and state Medicaid portals
• Comprehensive knowledge of UB-04 and CMS-1500 claim forms, revenue codes, and major payer processes
• Strong analytical skills and proficiency in Excel for data management and reporting