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PerformRCM, LLC

Insurance AR Followup Specialist

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Job Description

Insurance Accounts Receivable (AR) Specialist Perform RCM About the Role Perform RCM is seeking an experienced Insurance Accounts Receivable (AR) Specialist to join our revenue cycle team. This position is responsible for monitoring and following up on outstanding insurance claims to help ensure timely payment and resolution of accounts receivable. The ideal candidate has experience working insurance AR, researching claim status, communicating with payers, and taking the appropriate follow-up actions necessary to move outstanding claims toward resolution. What You'll Do Follow up on outstanding insurance claims in accordance with payer and client-specific requirements. Review AR reports and work queues to identify accounts requiring follow-up. Research claim status using payer portals, clearinghouses, automated systems, and telephone contacts. Identify claims that have not been received, processed, or appropriately adjudicated by the payer and take appropriate follow-up action. Request claim reprocessing or correction when appropriate based on payer guidance and available claim information. Document claim status, payer responses, and follow-up actions accurately and consistently. Coordinate with billing, cash application, and other revenue cycle teams when additional information or action is required. Prioritize accounts based on aging, filing deadlines, account balance, payer requirements, and client priorities. Escalate complex or unresolved accounts to management or the appropriate revenue cycle team. Maintain current knowledge of payer processes, insurance requirements, and revenue cycle procedures. What We're Looking For High school diploma or equivalent required. Previous experience in medical billing, insurance accounts receivable, healthcare revenue cycle management, or a related field required . Experience researching claim status through payer websites, clearinghouses, automated payer systems, and telephone contacts. Working knowledge of insurance claim follow-up and payer processes. Experience with professional and institutional claims preferred. Experience working with EHR, practice management, and medical billing systems. Strong organizational skills with the ability to prioritize a high volume of accounts. Strong attention to detail and ability to accurately document account activity. Ability to work independently while collaborating effectively with other revenue cycle teams. What Makes Someone Successful in This Role You are organized, persistent, and comfortable working through a high volume of outstanding claims. You know how to research an account, determine the appropriate next step, document your work, and continue following the claim through resolution. You can adapt to different payer and client requirements while consistently meeting quality and productivity expectations. About Perform RCM Perform RCM provides healthcare organizations with revenue cycle management services designed to improve financial performance and keep the revenue cycle moving forward. Our team combines revenue cycle expertise, technology, and data-driven processes to help our clients manage billing and collections more effectively.
Job Types:
Full-time, Part-time Pay:
From $25.00 per hour Expected hours: 40.0 per week
Work Location:
In person