AR Specialist

The A/R Follow Up Specialist follows up with insurance carriers on aged, unresolved claims. This position is also responsible for researching insurance company issues, such as network problems, work comp claims, and a variety of special projects. The position is responsible for following up on insurance claims, resolving any issues or discrepancies and ensuring that clients receive timely and accurate reimbursement for their claims This position requires a comprehensive understanding of the operational aspects of the entire revenue cycle as well as the appropriate measures to take in resolving claim issues with payers.Priority will be given to candidates with Eye billing and Modmed experience!Primary Responsibilities:Review and follow up on outstanding insurance claims to ensure timely resolution.Take appropriate actions to resolve issues in a way that results in payment and/or complete closure of insurance balance.Communicate with insurance companies, healthcare providers and clients to gather necessary information and resolve claim issues.Identify and address any discrepancies or errors in insurance claims.Make phone calls and use insurance company websites to check on claim status.Update client records and documentation with claim status and resolution information.Provide exceptional customer service to clients, addressing any inquiries or concerns related to insurance claims.Collaborate with internal teams to streamline processes and improve efficiency in claim resolution.Stay current on industry trends and regulations related to insurance billing and reimbursement.Key Skills:Problem solving, research, organization, detail oriented.Flexibility to work on competing priorities.Able to work independently, identify patterns, make informed decisionsCorrectly identifying root causes to determine appropriate actions and outcome.Ability to completely and concisely summarize important details in account notes.Excellent verbal communication skills are a must.Education:High school diploma or equivalent is required. Medical billing certification is a plusExperience:High school diploma or equivalent; bachelor's degree preferredPrevious experience in insurance billing, claims processing or healthcare administration preferredStrong communication skills, both written and verbalExcellent attention to detail and organizational skillsAbility to multitask and prioritize tasks in a fast-paced environmentProficiency in Microsoft Office Suite and experience with insurance billing software a plusAbility to work independently and as part of a teamWorking Conditions:Normal office environment. Occasional early morning, evening or weekend work.Physical Demands:Requires sitting for long periods of time in an office environment. Requires some bending, stooping, stretching, and lifting up to 20lbs. Ability to work under stress and deadlines. Telephone use required. Manual dexterity and hand-eye coordination required for use of calculator, computer keyboard, photocopier, and other office equipment. Requires normal range of hearing and sight to record, prepare, and communicate clearly. #J-18808-Ljbffr Paycom - ATS