A/R Specialist

WellStreet Urgent Care; Newnan (GA); On-site; USD 42,000 - 64,000; Full time

Job summary

WellStreet Urgent Care is seeking a Billing Specialist to support the full Revenue Cycle, including claims submission, follow-up, denial resolution, insurance verification, and patient billing inquiries. The ideal candidate will have experience in a medical billing environment and understand the AR lifecycle from submission through reimbursement.

The ideal candidate will have strong software skills and the ability to work in a fast-paced, high-volume setting with accuracy and professional

Qualifications

• 1+ year of medical billing experience.
• Urgent Care billing experience a plus.
• Knowledge of AR lifecycle and denials.

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.
• Work with Revenue Cycle to resolve billing, coding and system issues.
• Coordinate with clinic staff on billing and coding issues.
• Coordinate with patients on billing questions.
• Coordinate with revenue cycle on coding or cash posting errors.
• Daily processing of clearinghouse rejections.
• Knowledge of third-party payer reimbursement.

Skills

Insurance verification

AR lifecycle

Billing software

MS Excel

Communication

Documentation

Detail oriented

Team player

Tools

Practice Management Software

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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