Professional Accounts Receivable Specialist - EHS Patient Accounts - Full Time

Professional Accounts Receivable (AR) Specialist Here at Elliot Hospital, we take great pride in serving our community, patients, and families. If you meet the requirements below, and are ready for a great new adventure, consider applying! The Professional 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. Prepare, review, and submit insurance claims accurately and timely, utilizing electronic and paper billing methods as required. Perform account follow-up on outstanding insurance balances, ensuring proper payment and reimbursement in compliance with hospital policy and payer guidelines. Assist Denial and Payment Variance teams in researching, analyzing, and resolving denied or underpaid claims, including technical and administrative denials, and escalat[e] complex issues when necessary. Collaborate with providers, coding, revenue integrity, and patient access teams to ensure claims are complete, accurate, and compliant. Retrieve, review, and submit medical documentation requested by insurance carriers to support claim adjudication. High school diploma or GED, Required. Epic Experience, Preferred. 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.

M- F, 8:00-4:30PM.

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. #J-18808-Ljbffr SolutionHealth