A/R Specialist

Prisma Health UC by Wellstreet, LLC; Newnan (GA); On-site; USD 42,000 - 56,000; Full time

Job summary

Prisma Health UC by Wellstreet, LLC is seeking a detail-oriented medical billing specialist to support the full Revenue Cycle. You will handle insurance verification, claims submission, denial resolution, and patient billing inquiries in a fast-paced urgent care setting.

Ideal candidates bring 1+ year of medical billing experience, familiarity with payer networks, and strong MS Office and billing software skills.

Qualifications

• Knowledge of insurance payers and verification.
• Understand AR/revenue lifecycle and appealing denied claims.
• Experience with medical billing software and MS Office suite.

Responsibilities

• Billing for Urgent Care Centers using internal software.
• Set up insurance plans in the software.
• Performing insurance verification.
• Follow up on claims, reroute and resubmit where needed.
• Collaborate with Revenue Cycle Management to resolve billing issues.
• Interface with clinic staff on billing and coding.
• Respond to patient billing questions.
• Address coding or cash posting errors with appropriate teams.
• Process daily clearinghouse rejections.
• Understand third-party payer reimbursements.

Skills

Insurance verification

AR lifecycle

Billing systems

MS Office

Practice management software

Communication skills

Attention to detail

Team player

Tools

Practice Management Software

Billing Software

MS Excel

Job description

Key Focus of the Role

This position supports the full Revenue Cycle by managing insurance claims, billing processes, claim follow-up, denial resolution, insurance verification, and patient billing inquiries. The ideal candidate should have experience working within a medical billing environment and understand the AR lifecycle from claim submission through reimbursement.

Responsibilities

• Billing for our Urgent Care Centers using our internal software
• Setting up insurance plans within our software.
• Performing insurance verification
• Following up on claims, including rerouting and resubmitting claims
• Working with the Revenue Cycle Management to identify & resolve issues related to billing, coding and the billing system and process flow
• Interfacing with clinic staff on billing & coding issues.
• Interfacing with patients on billing questions
• Interfacing with appropriate members of revenue cycle regarding coding or cash posting errors
• Daily completion of clearinghouse rejections
• Knowledge of third-party payors reimbursement

Minimum Qualifications

• 1+ years of experience in medical billing preferred
• Urgent Care Billing experience is a plus

Required Skills

• Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims
• Knowledge of medical terminology and billing practices.
• Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software
• Energy, enthusiasm, and the ability to work under pressure in a high volume, fast paced environment
• Ability to work within a team environment and maintain a positive attitude
• Excellent documentation, verbal, and written communication skills
• Extremely organized with a strong attention to detail
• Motivated, dependable, and flexible with the ability to handle periods of stress and pressure
• All other duties as assigned

Ideal Candidate Profile

The strongest candidates will have hands-on healthcare AR experience, understand claim denial management, be comfortable working payer accounts, possess strong insurance knowledge, and demonstrate success in collecting reimbursement and resolving billing issues in a fast-paced environment. Urgent Care or physician practice billing experience would be a significant advantage.

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