Medical AR Specialist

About the role

Columbus Oncology and Hematology is seeking a full-time Medical AR Specialist to join their team. This position is responsible for claim follow-up, denial management, patient billing, and account reconciliation.

Responsibilities

• Review, research, and claim follow-up on insurance denials.
• Submit tiered appeals using precise arguments based on clinical documentation and payer medical policies.
• Navigate Practice Management and EHR to identify aged outstanding balances.
• Review medical necessity to defend high-dollar claims.
• Identify, review, research, and resolve credit balances ensuring the correct disposition of funds.
• Provide strong documentation skills to follow up activities, providing a historical timeline of actions taken.
• Perform AR follow-up, denial management, and reimbursement activities with two or more years of experience in a physician practice business office.
• Show overall knowledge of the healthcare revenue cycle and medical terminology.

Requirements

• Proven experience in reviewing, researching, and claim follow-up on insurance denials.
• Proven experience in submitting tiered appeals using precise arguments based on clinical documentation and payer medical policies.
• Ability to navigate Practice Management and EHR to identify aged outstanding balances.
• Ability to review medical necessity to defend high-dollar claims.
• Strong documentation skills to follow up activities, providing a historical timeline of actions taken.
• Two or more years of experience in a physician practice business office performing AR follow-up, denial management, and reimbursement activities.
• Overall knowledge of the healthcare revenue cycle and medical terminology.

Qualifications

This is an onsite position at our Dublin, Ohio business location. A hybrid opportunity is available following training.

Skills

• Experience in reviewing, researching, and claim follow-up on insurance denials.
• Experience in submitting tiered appeals using precise arguments based on clinical documentation and payer medical policies.
• Ability to navigate Practice Management and EHR to identify aged outstanding balances.
• Ability to review medical necessity to defend high-dollar claims.
• Strong documentation skills to follow up activities, providing a historical timeline of actions taken.
• Knowledge of the healthcare revenue cycle and medical terminology.

Pay

Details about pay are not specified in this posting.

Schedule

The schedule for this position is not specified in this posting.

Benefits

Details about benefits are not specified in this posting.

Benefits

Details about benefits are not specified in this posting.

Application Instructions

Application instructions are not provided in this posting.

Equal Opportunity Employer

Columbus Oncology Associates is an Equal Opportunity Employer and proudly a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.