AR Specialist (Full-Time)

Overview

A high-growth network of modern women's health practices is seeking an Accounts Receivable (AR) Specialist with advanced revenue cycle knowledge, particularly in OB/GYN billing. This role supports patient-centered care by serving as a patient advocate throughout the account lifecycle, managing billing processes, insurance denials, and communications with patients and payers.

Responsibilities

• Investigate and resolve insurance denials related to OB/GYN billing through effective communication with payers and detailed claim resubmissions
• Monitor claim status and eligibility by navigating various payer portals and resolve issues promptly
• Collaborate with internal teams to gather and provide documentation for appeals and claims processing
• Maintain up-to-date knowledge of medical billing regulations and compliance requirements
• Manage outstanding accounts receivable using medical collection practices and procedures
• Ensure accuracy in data entry and record-keeping for billing activities
• Prioritize tasks to meet deadlines and departmental goals
• Comply with revenue cycle policies and procedures
• Work assigned task lists, work queues, work files, and reports
• Maintain knowledge of third-party payor reimbursements and managed care contracts
• Utilize and interpret Explanation of Benefits (EOB) and Explanation of Payments (EOP)
• Accurately track daily activities and production
• Document all account activities and communications thoroughly
• Meet department production standards consistently
• Participate in special projects as assigned by management

Knowledge, Skills, and Abilities

Language/Communication Skills

• Effective verbal and written communication skills
• Ability to read and comprehend instructions, correspondences, and memos
• Ability to write simple correspondence with proper grammar and punctuation
• Present information effectively in one-on-one and small group settings

Mathematical Skills

• Perform basic arithmetic operations including addition, subtraction, multiplication, and division
• Understand and calculate figures such as discounts, interest, and percentages
• Interpret tabular and bar graphs

Computer/Technical Skills

• Proficiency with Physician Billing Systems, Electronic Medical Records (EMR), and Microsoft Office applications (Word, Outlook, Excel)
• Skilled in using email, internet search engines, and payer websites/portals
• Familiarity with healthcare computer systems supporting patient care, billing, and financial information

Customer Service Skills

• Advocate on behalf of patients, listen attentively to concerns, and address matters promptly, courteously, and respectfully

Qualifications

• High school diploma or GED required
• 3 to 5 years of experience in medical claims collection, including familiarity with aging reports, delinquent claims reports, correspondence, and EOBs
• Detail-oriented with strong accuracy skills
• Ability to work effectively with others
• Knowledge of proper business writing standards
• Proven verbal, listening, and written communication skills

Compensation and Benefits

• Competitive compensation
• Health, dental, and vision insurance with HSA/FSA options
• 401(k) plan with employer match
• Paid time off
• Paid parental leave

Location

This position is based within the organization's network of women's health practices. Specific location details will be provided during the hiring process.