Hospital AR Specialist - EHS Patient Accounts - Full Time

Job description

Come work at the best place to give and receive care! ​Job Description: About the Job: The Hospital 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. What You’ll Do: - Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct assignment of revenue codes, modifiers, and service lines - Perform account follow-up on outstanding facility balances, securing reimbursement in compliance with hospital policies, government regulations, and payer-specific billing rules (e.g., DRG, APC, OPPS methodologies) - Assist Denial and Payment Variance teams by researching, analyzing, and resolving technical, c...