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Billing/AR Specialist

We are seeking an experienced Medical Accounts Receivable and Billing Specialist to join our team. This position will be responsible for managing the full medical billing and accounts receivable process, including claim submission, payment posting, insurance follow-up, denial resolution, and patient account management. This position sits on site Monday-Friday. The ideal candidate has hands-on experience working in a small healthcare organization, private medical practice, physician office, or clinic environment. We are specifically seeking someone who is comfortable working independently and taking ownership of the billing and A/R process rather than someone who has worked exclusively within a large hospital or corporate healthcare system.

Key ResponsibilitiesManage the full medical billing and accounts receivable process from claim submission through final paymentSubmit and electronically process medical claims to insurance companiesReview claims for accuracy and resolve billing errors prior to submissionPost insurance and patient payments accurately and efficientlyFollow up on outstanding insurance claims and unpaid accountsResearch and resolve denied, rejected, and underpaid claimsIdentify and correct billing discrepancies and eligibility issuesWork insurance aging reports and maintain a strong focus on reducing outstanding A/RContact insurance companies regarding claim status, payment issues, denials, and appealsProcess claim corrections, resubmissions, and appeals as neededMaintain accurate patient account information and billing recordsAssist with patient billing questions and account inquiries when necessaryReview Explanation of Benefits and insurance remittance informationReconcile payments and identify discrepancies between billing, payments, and patient accountsMonitor A/R aging and identify accounts requiring additional follow-upMaintain compliance with healthcare billing regulations and company policiesWork closely with clinical and administrative staff to resolve billing and documentation issuesAssist with additional administrative and billing-related responsibilities as needed in a small-office environment

• Small, private clinic AR experience highly preferred
• Solid understanding of medical billing
• Knowledge of Accounts Receivable (AR) in a healthcare/clinical environment
• Demonstrated analytical skills in basic accounts receivable and accounting policy
• Current and relevant ERP system experience
• AA or BS/BA degree in Accounting or in a related field