Avalon Medical Group is seeking an experienced Medical Accounts Receivable Specialist to join our billing team. This is not an entry-level medical billing position. The ideal candidate will have a minimum of two years of recent, hands-on accounts receivable and insurance billing experience in a physician practice, medical clinic, or similar healthcare setting. The Medical Accounts Receivable Specialist will be responsible for working outstanding insurance accounts, identifying and resolving payment issues, correcting billing discrepancies, and helping ensure Avalon Medical Group receives accurate and timely reimbursement for services provided. Schedule Monday through Friday, 7:00 AM-4:00 PM or 8:00 AM

•4:00

PM Starting Pay :

$17.00 per hour Essential Duties & Responsibilities The Medical Accounts Receivable Specialist will: Review and work accounts receivable aging reports and outstanding insurance balances. Follow up with commercial insurance carriers, Medicare, Medicaid, and other third-party payers regarding unpaid, delayed, rejected, denied, or underpaid claims. Research claim status through payer portals, telephone calls, electronic systems, and other available resources. Review EOBs and ERAs to determine appropriate payment, contractual adjustments, denials, patient responsibility, and other account activity. Accurately post or process insurance adjustments and contractual adjustments according to payer requirements and established practice procedures. Identify incorrect payments, underpayments, overpayments, and payment discrepancies and take appropriate action. Research and resolve claim rejections and denials. Correct claims and resubmit them when necessary. Prepare and submit reconsiderations and insurance appeals, including supporting documentation when required. Monitor and meet payer timely filing and appeal deadlines . Review claims for insurance, demographic, authorization, coding, modifier, documentation, or other issues that may prevent payment. Communicate with insurance companies to resolve claim processing and reimbursement issues. Maintain detailed and accurate notes regarding collection activity, payer correspondence, claim status, reference numbers, follow-up dates, and resolution. Identify recurring denial or payment trends and communicate concerns to Billing leadership. Assist with payment posting, account reconciliation, refunds, and other billing functions as needed. Assist patients and staff with billing and insurance questions in a professional manner. Work collaboratively with providers, clinical staff, front-office staff, and other members of the Billing Department to resolve billing discrepancies. Maintain knowledge of payer requirements, insurance billing guidelines, reimbursement rules, and changes affecting medical billing. Protect patient confidentiality and comply with HIPAA and all applicable billing and compliance requirements. Perform other accounts receivable and billing duties as assigned.

Required Qualifications Applicants must have:

A minimum of 2 years of recent medical accounts receivable and/or insurance billing experience in a physician office, medical clinic, or comparable healthcare setting . Hands-on experience working outstanding insurance A/R. Experience with insurance billing and adjustments . Experience reviewing and interpreting EOBs and ERAs . Experience working insurance denials, rejections, unpaid claims, and underpaid claims. Experience communicating directly with insurance companies and using insurance payer portals. Working knowledge of medical insurance terminology and the healthcare revenue cycle. Familiarity with

ICD-10, CPT, HCPCS

codes, modifiers, deductibles, copays, coinsurance, contractual adjustments, and patient responsibility . Strong computer and data-entry skills. Strong attention to detail and accuracy. Ability to independently research and resolve account discrepancies. Ability to prioritize an A/R workload and follow claims through final resolution. Professional written and verbal communication skills. High school diploma or equivalent. Preferred Qualifications The following are preferred but not required: CPB (Certified Professional Biller), CPC (Certified Professional Coder), or similar medical billing/coding certification . Experience working in a multi-provider physician practice . Experience with electronic medical record/practice management and revenue-cycle systems. Experience with Medicare, Medicaid, and multiple commercial insurance carriers. Experience preparing formal insurance appeals and corrected claims. Experience identifying denial trends and reimbursement discrepancies. What We're Looking For We are looking for someone who understands that successful medical A/R involves more than simply checking claim status. The right candidate should be able to determine why a claim has not paid, what needs to be corrected, and what action is required to bring the account to resolution . The successful candidate will be organized, persistent, detail-oriented, dependable, and comfortable managing multiple outstanding accounts and payer deadlines. They should be able to work independently while also functioning as part of Avalon's Billing Department.

Experience Medical billing/accounts receivable:

2 years minimum

•

REQUIRED

Candidates without the required medical billing or healthcare accounts receivable experience will not be considered.

Work Location:

In person

•Muscle Shoals, Alabama Avalon Medical Group is an Equal Opportunity Employer.

Pay:

$17.00 per hour Expected hours: 36.0

•40.0 per week

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Retirement plan Vision insurance

Experience:

Accounts receivable: 2 years (Required) Medical billing: 1 year (Required) EMR systems: 1 year (Required)

Work Location:

In person