Accounts Receivable Specialist

Overview The A/R Specialist is responsible for the company’s third‑party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations, statements, and other billing issues. This position will submit and follow‑up on medical claims for Managed Care Organization (MCO), Medicaid, Medicare, Other Federal, Private Insurance, and Workers Compensation. Duties and Responsibilities Work unpaid claims in follow‑up work queues. Rebills/appeals claims within 30-45 days of denial date. Provide insurance companies with needed medical records or documents when requested. Identify payer trends or issues and report to leadership for resolution. Bill patients for non‑covered services. Bill secondary and tertiary insurances after primary payment. Assist patients with self‑pay balances. Always maintain proper work standards in productivity and quality. Other tasks as assigned by the Director, Revenue Cycle and Billing. Education, Experience, Licensure/Certification and Skills/Abilities Related Requirements High School Diploma required. 2 years billing experience. 5 years collection experience. FQHC collection experience preferred. Continuing Education and Training Requirements Participates in trainings required by the funding source and/or as required by licensure. #J-18808-Ljbffr Avenue-360-Health-and-Wellness