Insurance Billing and Receivables Specialist

Job Description

Job Description

We are seeking a detail-oriented and highly organized Insurance Billing and Receivables Specialist to join our team. The ideal candidate will be responsible for submitting insurance claims, posting insurance checks, following up on unpaid claims, resolving billing issues, managing accounts receivable, and ensuring timely reimbursement from insurance carriers. This position plays a critical role in maintaining cash flow and supporting the financial health of the organization.

Key Responsibilities

• Submit accurate and timely insurance claims to commercial, government, and managed care payers.
• Monitor and manage accounts receivable to ensure prompt payment.
• Research, investigate, and resolve claim denials, rejections, underpayments, and payment discrepancies.
• Follow up with insurance companies regarding outstanding claims and reimbursement status.
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).
• Post insurance payments and adjustments accurately.
• Verify patient insurance eligibility and benefits when needed.
• Maintain compliance with payer guidelines, HIPAA regulations, and company policies.
• Collaborate with clinical, administrative, and financial staff to resolve billing issues.
• Prepare and maintain reports related to claims status, aging accounts, collections, and receivables.
• Ensure patient accounts are updated accurately and completely.