AR Insurance Specialist

Job description

Description As a member of the Insurance AR Team, you become laser-focused on closing the loop from unpaid or incorrectly processed claims by following the money and ensuring we collect every dollar that the organization has earned. You understand the nuance and payer-specific tactics needed to turn aged receivables into resolved payments, and you do it with skill, consistency, and tenacity. Your efforts allow families to continue receiving care for the recommended amount of time by ensuring that correct and timely payer payments are received and applied. You also provide critical insight into payer trends, helping the organization identify errors and strengthen payer accountability, protecting both the families we serve and the financial health of the company. Key Responsibilities: - Work daily aging reports with a focus on insurance balances greater than 30 days; prioritize claims based on payer, age, and dollar amount. - Conduct thorough follow-up with payers via phone, portals, and written correspondence to resolve outstanding claims. - Investigate claim denials and underpayments by reviewing EOBs/ERAs, payer policies, and contract terms. - Submit appeals and corrected claims w...