AR Specialist 2

About This Opportunity

We are representing a confidential healthcare revenue cycle management organization in their search for an AR Specialist 2. Our talent team at Get A Job.ai is partnering with this client to identify experienced accounts receivable professionals who excel at insurance follow-up and claim resolution.

This is a remote position available to candidates in the following states: Alabama, Colorado, Florida, Georgia, Idaho, Kansas, Maine, Virginia, Vermont, Michigan, North Carolina, and South Carolina.

Responsibilities

• Verify patient eligibility and obtain authorizations for healthcare services by accessing payer websites, client systems, or conducting phone inquiries with insurance carriers and providers
• Update patient demographics and insurance information in appropriate systems to maintain accurate records
• Research and status unpaid or denied claims, monitoring for missing information, authorization numbers, and control numbers
• Review Explanation of Benefits (EOB) documents to identify payments, adjustments, and resolve outstanding claims
• Contact insurance payers through phone or written correspondence to secure timely payment of claims
• Access client systems to gather information on received payments, open claims, and other data necessary for claim resolution
• Follow prioritization guidelines, timely filing deadlines, and notation protocols within designated systems
• Secure medical documentation as required by third-party insurance carriers
• Research provider billing manuals to obtain billing guidelines and requirements
• Write technical appeal letters for denied claims
• Verify accuracy of underpayments by researching contracts and claims data
• Prepare claims for clinical audit processing when denials involve authorization, coding, level of care, or length of stay issues
• Support compliance programs by adhering to HIPAA, FDCPA, FCRA, and other applicable healthcare regulations

What We're Looking For

• High school diploma or GED required
• Minimum of two years of experience in healthcare insurance accounts receivable follow-up, working with or for a hospital or hospital system
• Direct experience working with government or commercial insurance payers
• Demonstrated ability to identify billing errors and resubmit claims
• Experience following up on payment errors, low reimbursement, and denials
• Proficiency reviewing EOB and UB-04 forms to conduct accounts receivable activities
• Knowledge of accounts receivable practices, medical business office procedures, coordination of benefits rules, and denial overturn processes
• Understanding of third-party payer billing and reimbursement procedures and practices
• At least two years of experience with accounts receivable software
• Experience navigating payer websites for appeals, reconsiderations, benefits verification, and online claims follow-up
• Strong computer skills including Internet Explorer and Microsoft Office (Excel for data input and sorting, email, and calendar tools)
• Proven ability to work both independently and collaboratively in a team environment
• Excellent communication skills with the ability to understand complex information and accurately document payer interactions
• Track record of meeting performance objectives

How We Work with You

As a Get A Job.ai candidate, you will apply directly through our platform at getajob.ai. Our recruiting team will conduct an initial screening to understand your background and career goals. If there's a strong match, we will submit your profile to our client for consideration. Please do not contact the client directly, as all communications will be managed through Get A Job.ai to ensure a smooth and professional process.

Pay

Compensation details will be discussed during the screening process based on your experience and qualifications.

Equal Employment Opportunity: Get A Job.ai is committed to inclusive hiring practices and does not discriminate on the basis of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity, or any other protected class.