AR Claims Specialist I

Position Highlights

• 1.0 FTE (40 hours per week)
• $19.76-$24.21/hour DOE with the ability to go higher for highly experienced candidates
• 100% employer-paid health insurance, including medical, dental, vision, Rx, 24/7 telemedicine
• Profit sharing & 403(b) retirement plan available
• Generous PTO, 8 paid holidays, and much more!

What You’ll Do

• Prepare and process insurance claims timely and accurately to government, commercial and managed care payers
• Review, submit and/or distribute corrected claims
• Enter appropriate account notes in Epic billing system to clarify actions taken to reconcile claims
• Resolve claim edits daily via claim edit work queues and/or our external billing software
• Verify eligibility for coverage via multiple payor websites
• Assure compliance with billing requirements for workers compensation and third-party liability claims
• Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information
• Maintain confidentiality of all patient demographics, medical and financial information at all times
• Maintains Epic Claims Work queues to department daily standard
• Maintain daily balance logs of claims sent from EMR to Clearinghouse daily to ensure all claim runs are balanced daily
• Perform other duties as assigned

Qualifications

• High School diploma or GED
• Minimum six months’ experience in healthcare setting
• Certified Revenue Cycle Representative (CRCR) preferred
• Experience with FQHC billing and/or coding preferred
• Strong attention to detail, analytical skills, and ability to meet deadlines
• Knowledge of medical and insurance terminology, CPT/ICD coding structures, and UB-04/1500 claim forms
• Strong written and verbal communication skills