Government A/R Specialist

Job Summary

To support a growing healthcare organization, the full-time Government A/R Specialist will prepare, process, and submit insurance claims while managing accounts receivable follow-up and ensuring compliance with regulatory requirements in a remote work environment.

Key responsibilities

• Prepare, process, and submit accurate insurance claims for various payer types
• Resolve claim edits, billing issues, and denials to ensure clean claim submission
• Perform A/R follow-up, appeals, and reconsiderations in compliance with payer and CMS regulations

Required qualifications

• High school degree or GED required, with a minimum of one year of experience in insurance follow-up, billing, and collections
• Experience with patient accounting billing systems or claims clearinghouses, such as Epic or Thrive, is preferred
• Proficient knowledge of ICD-10, HCPCS, CPT codes, and electronic claim processing
• Ability to provide a HIPAA-compliant workspace and meet technical requirements for remote work
• Strong work ethic and ability to manage a high-volume workload in a fast-paced environment