About this role

Following up directly with commercial, governmental, and other payers to resolve claim payment issues.
Identifies and analyzes denials, payment variances, and no response claims.
Examines denied and other non-paid claims to determine the reason for discrepancies.
Communicates directly with payers to follow up on outstanding claims.
Works with management to identify, trend, and address root causes of issues in the A/R.
Maintains understanding of federal and state regulations and payer specific requirements.

Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred.
Excellent Verbal skills.
Problem solving skills.
Critical thinking skills.
Adaptability to changing procedures and growing environment.
Meet quality and productivity standards within timelines set forth in policies.
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes.

Accounts Receivable Specialist

Key skills