A/R Claims Specialist — Revenue Cycle Pro

ARBOR DIAGNOSTICS INC; Dallas (TX); On-site; USD 55,000 - 65,000; Full time

Job summary

ARBOR DIAGNOSTICS INC seeks an A/R Claims Specialist for Copper Creek Health in Dallas, TX 75229. This full-time role focuses on expediting proper adjudication of insurance claims and reducing denials, including resubmitting unpaid claims, communicating with carriers and patients, and updating insurance and demographic data.

You will review trends in denials, adhere to payer guidelines, and contribute to revenue cycle improvements while delivering strong customer service.

Qualifications

• Minimum of 3 years A/R follow up experience.
• Proficient in Microsoft Office.
• Excellent navigation and keyboarding skills (45+ wpm).
• Strong organizational and interpersonal abilities; detail oriented.
• Ability to manage multiple priorities and deliver quality work.
• Complies with Data Protection policies and procedures.
• Valid driver’s license and car insurance; travel as needed.

Responsibilities

• Manage accurate and timely insurance claims follow-up and AR resolution for assigned payers.
• Accountable for complex payers, aged claims, and special AR projects.
• Adhere to government regulations, payer contracts, and insurance guidelines when performing follow-up, resolving open accounts, and appealing claims.
• Identify inefficiencies to improve revenue flow, decrease denials, and minimize write-offs.
• Manages insurance and patient correspondence; contacts carriers, patients, and facilities to maximize payment.
• Reports trending claims denials with documentation to Management.
• Answers inbound patient calls and collects and posts payments with customer service.

Skills

Attention to detail

Multitasking

Communication skills

Keyboarding 45 wpm

Interpersonal skills

Time management

Education

High School

Tools

Microsoft Office

Job description

ARBOR DIAGNOSTICS INC seeks an A/R Claims Specialist for Copper Creek Health in Dallas, TX 75229. This full-time role focuses on expediting proper adjudication of insurance claims and reducing denials, including resubmitting unpaid claims, communicating with carriers and patients, and updating insurance and demographic data.

You will review trends in denials, adhere to payer guidelines, and contribute to revenue cycle improvements while delivering strong customer service.