Insurance AR Specialist

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

📋 Description

• Accurately manage assigned insurance accounts receivable with efficiency and a strong sense of accountability.

• Actively follow up on pending claims and insurance denials to ensure prompt resolution.

• Research, prepare, submit, and monitor insurance appeals, including continuous follow-up on appeals.

• Effectively communicate with insurance representatives to address claim issues and secure payments.

• Utilize robust organizational and time-management skills to prioritize daily tasks and meet deadlines.

• Analyze managed care contracts, including fee schedules and allowable amounts, to aid in collection efforts.

• Interact confidently with non-participating providers and adhere to payer guidelines.

• Maintain a comprehensive understanding of the insurance collection process and consistently apply best practices.

• Identify and resolve issues independently, exercising sound judgment and keen attention to detail.

⛳️ Requirements

• High school diploma or GED certification is required.

• Strong understanding of medical billing processes, insurance guidelines, and the insurance appeals lifecycle.

• Previous experience in healthcare insurance collections, ideally in an ambulatory or clinical environment.

• Proficient in using computers and Windows-based software applications.

• Excellent written and verbal communication skills with a strong command of the English language.

• Ability to collaborate professionally and effectively with teammates, patients, and external partners.

• Customer-oriented mindset capable of representing the company positively to patients, insurance providers, and the general public.

• A minimum internet download speed of 50Mbps is necessary to effectively operate SIS Systems.

🏝️ Benefits

• Comprehensive benefits package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance.

• Vacation and Sick leave.

• 401(k) retirement plan with company matching contributions.

• Paid Holidays.

• SIS Cares Day.

• Hybrid or Remote work environment depending on the position.