Medical Insurance AR Specialist

Job Summary

To ensure the timely collection of outstanding healthcare insurance receivables, the full-time Medical Insurance AR Specialist will verify patient eligibility, update insurance information, and conduct research on unpaid claims while working remotely.

Key responsibilities

• Verifies patient eligibility and authorization for healthcare services through various methods, including payer websites and phone calls
• Conducts research and statuses unpaid or denied claims, ensuring compliance with filing deadlines and protocols
• Contacts payers to secure payment of claims and writes appeal letters for technical appeals as necessary

Required qualifications

• High school diploma or GED
• At least three years of experience in healthcare insurance accounts receivable follow-up with government or commercial payers
• Experience in identifying billing errors, resubmitting claims, and following up on payment issues
• Knowledge of accounts receivable practices and medical business office procedures
• Demonstrated ability to navigate accounts receivable software and Microsoft Office applications