Medical Accounts Receivable Specialist

Benefits: 401(k) Bonus based on performance Competitive salary Dental insurance Health insurance Paid time off Vision insurance Job Summary: Digestive & Liver Disease Consultants is seeking an experienced Senior Medical Accounts Receivable (AR) & Revenue Cycle Specialist with strong expertise in Gastroenterology, Endoscopy, Ambulatory Surgery Center (ASC), and Anesthesia billing operations. The ideal candidate must possess deep knowledge of insurance follow-up, denial management, collections, and revenue cycle workflows within specialty healthcare practices. Key Responsibilities: Manage and oversee AR and insurance follow-up operations for GI, Endoscopy, ASC, and Anesthesia services. Analyze aging reports and aggressively resolve outstanding claims and denied accounts. Handle denials, underpayments, appeals, claim corrections, and payer escalations. Monitor reimbursement trends, payer turnaround times, and collection performance. Coordinate with billing teams, providers, and operational leadership regarding AR performance and revenue optimization. Identify billing issues, revenue leakage, and workflow gaps impacting collections. Review claim status, payment posting discrepancies, and unresolved balances. Ensure timely follow-up on Commercial, Medicare, Medicaid, and Managed Care claims. Prepare AR, collections, and operational reports for leadership review. Support process improvement and revenue cycle optimization initiatives. Maintain compliance with payer guidelines and healthcare billing standards. Perform additional operational or administrative responsibilities as assigned. Requirements: 8–10 years of experience in Medical AR, Revenue Cycle Management, or Insurance Follow‑Up. Mandatory experience in Gastroenterology, Endoscopy, ASC, and Anesthesia billing workflows. Strong understanding of denials management, appeals, collections, EOB analysis, and aging resolution. Experience handling specialty physician practice and surgery center revenue cycle operations. Ability to manage high‑volume AR accounts independently and efficiently. Strong analytical, organizational, and communication skills. Experience with eClinicalWorks (eCW) EMR system is preferred. Proficiency in Excel, reporting, and operational tracking preferred. #J-18808-Ljbffr