Insurance AR Specialist

This is a fully remote position, open to applicants in Texas.

📋 Description

• Review and submit accurate claims electronically or in paper form to insurance providers.

• Communicate with carriers via phone or online platforms regarding pending insurance balances and the status of claims.

• Handle insurance correspondence and collection efforts.

• Reach out to patients, rectify claims, and resubmit them to alternative carriers.

• Acquire necessary documentation to expedite the processing of insurance payments.

• Address inquiries from patients, administrative staff, and insurance companies.

• Identify and resolve billing complaints from patients.

• Draft appeal letters for claims that have been denied.

• Log collection activities in accordance with established guidelines.

• Detect underpayments by comparing received payments with contracted fee schedules.

• Process requests for insurance refunds.

• Inform the supervisor of any payer issues or delays.

• Engage in educational activities to enhance skills and knowledge.

• Uphold confidentiality and adhere to HIPAA regulations and guidelines.

• Organize workload, prioritize tasks, and suggest solutions as needed.

• Accurately and promptly reconcile accounts receivable.

• Review claims that have been flagged in the claim scrubber.

• Address claims that have been rejected by the clearinghouse.

⛳️ Requirements

• High School Diploma or GED required.

• At least one year of experience in medical billing or collections preferred.

• Proficient in reading and writing.

• Capable of performing basic arithmetic operations including addition, subtraction, multiplication, and division with whole numbers, fractions, and decimals.

• Ability to interpret explanation of benefits remittances to determine reasons for claim denials and necessary resolutions.

• Typing speed of at least 45 WPM.

• Basic knowledge of Microsoft Outlook and Office applications.

• Experience with or ability to learn and understand computer software programs.

• Capacity to fulfill each essential duty effectively.

• Skills to manage workload and prioritize tasks efficiently.

• Commitment to maintaining strict confidentiality and complying with HIPAA regulations and guidelines.

• Problem-solving skills and ability to recommend effective solutions.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and growth.

• Supportive work environment and team-oriented culture.