Job Description

The A/R Specialist position in our company will be meticulous in monitoring insurance A/R report and working excel spreadsheets. Expert in Pivot table. You must work denials, appeals, and re-considerations as required. Be able to meet weekly/monthly production goals and have critical thinking to get claims over-turned. They will not take "no" for answer to claim payment. Must be able to create/ update scope of procedures. They will post insurance payments and patient payments to accounts as need. They will assist in month-end processing each month where ever needed. They will work overtime as needed and must have leadership ability.

Requirements

Medical Insurance Collections: 5 years

Excellent English verbal and written communication

Self-directed with Leadership skills

VERY detailed Oriented

High school graduate or GED

Knowledge of all insurance guidelines and appeals process

Healthcare Insurance Collecting experience is a must

Knowledge of computers and Windows-driven software

Must be able to add, subtract, divide, multiply and calculate percentage

Must know how to navigate the internet, various health plan websites.

Skills or Special Abilities:

They will be very knowledgeable with MEDICAL insurance rules and guidelines, ICD-9, ICD-10, HCPCS, and CPT codes.

Must be able to exercise good judgment in handling government and/or non-government accounts and understand managed care and insurance contractual arrangements.

Must be detail oriented, have sharp analytical skills to audit accounts and resolve complex financial issues as they relate to multiple groups including third party payers, physicians, patients, and the system.

Must demonstrate a positive demeanor, good leadership skills, good verbal and written communication skills, and be professional in both appearance and approach.

Must be able to handle potentially stressful situations and multiple tasks simultaneously including discussing outstanding claims with the insurance company, taking action on denied claims, and processing appeals.

Must be able to communicate effectively with doctors, office staff, government entities, insurance companies and company staff.

Must be able to resolve problems within the guidelines of established policies and procedures.

Required education:

High school graduate or GED Some College and or Healthcare certifications
Job Type: Full-time

Pay: ?7.00 - ?8.00 per hour

Expected hours: No less than 40 per week

Benefits:

Paid sick time Paid time off Work from home
Expected Start Date: 01/09/2025