Insurance AR Specialist - Remote

Overview

This remote position offers an opportunity to join a growing Revenue Cycle Services (RCS) team supporting ambulatory surgical centers (ASCs) and clinics. The Accounts Receivable (AR) Specialist will manage insurance accounts receivable, focusing on follow-up, denial resolution, and appeal submissions to support clients' financial outcomes.

Responsibilities

• Manage assigned insurance accounts receivable with accuracy and efficiency
• Proactively follow up on outstanding claims and insurance denials to ensure timely resolution
• Research, prepare, submit, and track insurance appeals, including ongoing follow-up
• Communicate effectively with insurance representatives to resolve claim issues and obtain payment
• Prioritize daily workloads and meet deadlines using strong organizational and time-management skills
• Interpret managed care contracts, including fee schedules and allowable amounts, to support collection efforts
• Work confidently with non-participating providers and payer guidelines
• Maintain a clear understanding of the insurance collection process and apply best practices consistently
• Identify and resolve issues independently using sound judgment and attention to detail

Requirements

• High school diploma or GED certification
• Solid knowledge of medical billing processes, insurance guidelines, and the insurance appeals lifecycle
• Prior experience in healthcare insurance collections, preferably in an ambulatory or clinical setting
• Proficiency with computers and Windows-based software systems
• Strong written and verbal communication skills with excellent command of English
• Ability to work cooperatively and professionally with teammates, patients, and external partners
• Customer-focused mindset with the ability to represent the organization positively to patients, insurance carriers, and the public
• Minimum internet download speed of 50 Mbps to effectively run required systems

Benefits

• Medical, Vision, Dental insurance
• Short Term Disability, Long Term Disability, and Life Insurance
• Vacation and Sick time
• 401(k) retirement plan with company match
• Paid holidays
• Remote or hybrid work environment depending on role

Location

This is a fully remote position.

The organization is an equal opportunity employer and complies with applicable employment laws. Qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, or other protected statuses. Sponsorship for H1B candidates is not available at this time.