<p>The AR Specialist is responsible for billing and follow-up of accounts according to documented procedures. Includes but is not limited to: following up on claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts, and maintaining up to date account information.</p> <p>Essential Responsibilities:</p> <ul> <li>Monitors claim status and records in system daily for commercial insurance billing. </li><li>Ensure timely collection of outstanding A/R and perform a variety of clerical and accounting functions to resolve billing issues of submitted claims </li><li>Review EOBs, assist in verifying patient coverage if needed, and assist with patient billing inquiries through a billing queue </li><li>Conducting outbound calls to insurance companies and/or patients to reconcile account issues and outstanding account balances </li><li>Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed. </li><li>Handles correspondence from payers to ensure all information required for claim processing is provided. </li><li>Review and resolve credit balances or unassigned money remaining on an account. </li><li>Provides customer service and follow through on account questions. </li><li>Assists with Special Projects as needed. </li></ul> <p>Education and/or Experience:</p> <ul> <li>High School Diploma or equivalent; college preferred </li><li>1-3 yrs of experience with Receivables /collections in a healthcare setting is required </li><li>Strong telephonic communication skills </li></ul> <p>Why You'll Love Working Here - Our Amazing Benefits:</p> <p>Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee only healthcare coverage option is also available.</p> <p>Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family.</p> <p>Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most.</p> <p>Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose!</p> <p>Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years.</p> <p>Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being.</p> <p>Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck.</p> <p>Rewards for Connections: Earn extra money with our Employee Referral Program-your network is invaluable!</p> <p>Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development.</p> <p>Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness.</p> <p>Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them.</p> <p>Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.</p>