Hospital AR Specialist - EHS Patient Accounts - Full Time

Hospital Accounts Receivable (AR) Specialist

The Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. This role ensures proper reimbursement by preparing, submitting, and monitoring claims, and resolving outstanding account balances. The AR Specialist serves as a representative between the hospital, payers, and other internal departments to promote efficient claims resolution and compliance with federal, state, and payer-specific regulations.

What You'll Do:

• Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct assignment of revenue codes, modifiers, and service lines
• Perform account follow-up on outstanding facility balances, securing reimbursement in compliance with hospital policies, government regulations, and payer-specific billing rules (e.g., DRG, APC, OPPS methodologies)
• Assist Denial and Payment Variance teams by researching, analyzing, and resolving technical, clinical, and administrative denials specific to hospital claims, escalating complex issues when necessary
• Collaborate with coding, revenue integrity, patient access, and clinical departments to resolve charge capture, documentation, or registration issues that impact claim accuracy
• And more.

Who You Are:

• High School Diploma or GED required and/or equivalent experience of 2+ years in billing experience, Required

Why You'll Love Us:

• Health, dental, prescription, and vision coverage for full-time & part-time employees
• Short term, long term disability, Accident insurance, & life insurance
• Tuition Reimbursement
• Referral bonuses
• Accrued earned time for full-time & part-time employees
• 403b Retirement plans, with generous employer contributions
• And more!

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.