We are seeking a detail-oriented Accounts Receivable Specialist to join a busy, fast-paced medical practice. This position plays a vital role in ensuring timely reimbursement by researching, resolving, and following up on insurance claims while maintaining accurate patient account records. Responsibilities Review and resolve denied insurance claims by gathering the necessary information to correct claims or submit appeals. Research payer-specific guidelines and identify the root causes of claim denials to improve front-end processes. Stay current on billing requirements and policy changes for both commercial and government insurance payers. Monitor recurring registration and front-end errors and communicate trends to support ongoing staff education. Investigate claims with no insurance response by running reports, researching claim status, and taking appropriate follow-up actions. Respond promptly and professionally to questions from patients, coworkers, and leadership regarding patient accounts. Identify balances that are the patient's responsibility and transfer accounts to the appropriate patient billing representative. Review credit balances resulting from posting errors or insurance/patient overpayments and submit refund requests when appropriate. Identify delinquent accounts that require placement with a collection agency. Maintain thorough and accurate documentation of all account activity within the practice management system. Qualifications High school diploma or GED required. Additional education in medical billing and coding is preferred. Minimum 3 years of experience in a healthcare revenue cycle environment, including areas such as medical billing, collections, payment posting, charge entry, or pre-certification. At least 1 year of experience working with surgical claims is preferred. Strong analytical, organizational, and problem-solving skills. Excellent attention to detail and ability to manage multiple priorities in a fast-paced environment. Strong written and verbal communication skills. Must successfully pass a background and credit check.
Position Details Job Type:
Part-Time Schedule:
Day shift
Location:
In-person (Pooler, GA) This is an excellent opportunity for an experienced medical AR professional who enjoys problem-solving, working independently, and making a direct impact on the financial health of a growing specialty practice.