Monitor and resolve outstanding or pending insurance claims and account balances.
Conduct timely follow-ups with payers via phone, fax, email, and payer websites.
Investigate and resolve claim rejections using systems such as Realmed and Availity.
Research credit balances and escalate to the Refunds Department when appropriate.
Maintain and update payer guidelines, ensuring internal teams are informed of changes.
Assist Patient Services with statement requests, itemized bills, and account research.
Support onboarding and continued development of the AR team through training, mentoring, and skill-building.
Distribute workload, monitor task completion, and ensure departmental efficiency.
Prepare and submit detailed billing documentation for escalations and payer appeals.
Partner cross-departmentally on projects, bringing AR expertise to organizational initiatives.
Communicate issues, trends, and process improvement opportunities to AR leadership.

High School Diploma or equivalent required.
3–5 years’ experience in medical insurance coordination/collections (required).
1+ years of supervisory experience in AR or a similar role (preferred).
Strong knowledge of insurance payers, EOBs, Medicare/Medicaid, and medical terminology (pathology focus).
Experience with CPT4, ICD10, HCPCS coding.
Familiarity with HCFA 1500 and UB-04 billing processes.
NextGen Practice Management, Availity, or Realmed experience preferred.
Strong organizational skills, detail orientation, and communication ability.
Proficiency in Microsoft Office.

A collaborative team environment where your expertise will make a direct impact.
Opportunities to mentor and help develop AR team members.
A chance to grow within a supportive and professional environment at Diligent Billing Management.

Accounts Receivable Coordinator – Lead

Key skills