About this role

Follow up with commercial, governmental, and other payers to resolve claim payment issues
Secure appropriate and timely reimbursement and response
Identify and analyze denials, payment variances, and no response claims
Draft and submit technical and clinical appeals
Support all denial, no response, and audit activities
Examine denied and non-paid claims to determine discrepancies
Communicate directly with payers to follow up on outstanding claims
Work with management to identify, trend, and address root causes of issues in A/R

2 or 4-year college degree (preferred)
1 or more years of relevant experience in medical collections or related fields (preferred)
Must demonstrate basic computer knowledge and proficiency in Microsoft Excel
Excellent verbal skills
Problem-solving skills to determine a plan of action for collection
Critical thinking skills to comprehensively apply tools for securing payment
Adaptability to changing procedures and growing environment
Must be inquisitive and embrace innovation, including AI

Accounts Receivable Associate Specialist

Key skills