AR Specialist

Job Summary:
The Accounts Receivable Specialist is responsible for researching, identifying and rectifying any circumstances affecting delayed or non-payment of patient insurance claims. Processes paper claims for assigned accounts and sends these claims to the appropriate insurer to collect payment on balances owed to the organization. Ensures that clean and correct claims are sent to the insurers, including appropriate back up documentation when required. Prepares and submits coverage and payment appeals to insurances when appropriate. Resolves credit balances due to overpayments within time guidelines. Maintains up-to-date knowledge of payer requirements. Responds to patient or guarantor inquiries and/or concerns and assists in resolving their obligations. Must be able to work independently and be self- directed. Must have the ability to work well under pressure and to adapt positively to change, work cooperatively with staff members, clients and management in a professional and positive manner to ensure quality service. Will actively contribute to the teamwork approach. Performs other duties as directed. Responsible for personal and corporate compliance with local, state, and federal regulations. Adheres to corporate and departmental policy and procedure.

Education:
Two years of college, Associates degree, or equivalent relevant experience may be required.

Experience:
Two or more years in a healthcare setting or medical claims processing experience is helpful. Additional experience may be required.