Professional Accounts Receivable Specialist - EHS Patient Accounts - Full Time

About the job

The Professional Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. This role ensures proper reimbursement by preparing, submitting, and monitoring claims, and resolving outstanding account balances. The AR Specialist serves as a representative between the hospital, payers, and other internal departments to promote efficient claims resolution and compliance with federal, state, and payer-specific regulations.

Responsibilities

• Prepare, review, and submit insurance claims accurately and timely, utilizing electronic and paper billing methods as required
• Perform account follow-up on outstanding insurance balances, ensuring proper payment and reimbursement in compliance with hospital policy and payer guidelines
• Aid Denial and Payment Variance teams in researching, analyzing, and resolving denied or underpaid claims, including technical and administrative denials, and escalate complex issues when necessary
• Collaborate with providers, coding, revenue integrity, and patient access teams to ensure claims are complete, accurate, and compliant
• Retrieve, review, and submit medical documentation requested by insurance carriers to support claim adjudication
• And more.

Requirements

• High school diploma or GED
• Epic Experience, Preferred

Qualifications

• Strong attention to detail
• Excellent communication skills
• Proficient in Microsoft Office applications

Skills

• Knowledge of healthcare billing and coding standards
• Ability to work independently and as part of a team
• Strong problem-solving and analytical skills

Benefits

• Health, dental, prescription, and vision coverage for full-time & part-time employees
• Short term, long term disability, Accident insurance, & life insurance
• Tuition Reimbursement
• Referral bonuses
• Accrued earned time for full-time & part-time employees
• 403b Retirement plans, with generous employer contributions

Pay

Commensurate with experience

Schedule

M-F, 8:00-4:30PM