Accounts Receivable Specialist

Job description

About the Role We are seeking a detail‑oriented and proactive AR Insurance Follow‑Up Specialist to join our revenue cycle team. This role focuses on managing outstanding insurance balances, with a strong emphasis on Medicare and primary care claims. The ideal candidate is experienced in navigating payer policies, resolving claim issues, and ensuring timely reimbursement. Key Responsibilities: - Review and follow up on outstanding Medicare and Railroad Medicare claims; may provide coverage for other insurance payers as needed. - Investigate claim denials, rejections, and underpayments, and take corrective action when appropriate. - Communicate with payers to resolve claim issues and obtain claim status updates. - Submit corrected claims, appeals, and supporting documentation as required. - Monitor open A/R and prioritize accounts to reduce days in A/R. - Collaborate with billing, coding, and clinical teams to resolve documentation or coding discrepancies. - Maintain accurate notes and documentation within the practice management system. - Stay current on Medicare guidelines, payer policies, and regulatory changes. Qualifications: - 3–5 years of experience in medical billing or AR fo...