Accounts Receivable Specialist

• Access billing software systems to review and manage claims.
  
• Work directly with insurance companies and healthcare providers to secure timely payments.
  
• Review and interpret Explanation of Benefits (EOBs).
  
• Follow up weekly on unpaid claims until resolved.
  
• Document detailed notes on claim follow-up activities.
  
• Identify and correct claim errors; initiate rebilling as necessary.
  
• Review clearing houses for denials and make corrections.
  
• Research payer-specific billing guidelines and implement best practices.
  
• Handle appeals and reconsiderations for denied claims.
  
• Collaborate with insurance representatives to resolve claim issues.
  
• Meet all reporting deadlines as assigned.
  
• Audit clinical charting for accuracy.
  
• Prepare and submit claims through EMR and clearing houses.
  
• Review and correct rejected claims promptly.
  
• Maintain accurate data entry in master databases.
  
• Coordinate with Admissions and AR teams to ensure timely claim processing.
  

Requirements

Education:

• Bachelor’s or Master’s degree from a reputable institute.
  

Experience:

• 3 years of experience in medical billing and accounts receivable.
  
• Familiarity with clearing-houses (e.g., GE Centricity) and EMR systems.
  

Skills:

• Strong communication (verbal & written) and interpersonal skills.
  
• Proficiency in Microsoft Office Suite (Outlook, Word, Excel).
  
• Excellent problem-solving and multitasking abilities.
  
• High attention to detail and ability to work in a fast-paced environment.
  

Benefits