A/R Specialist: Medical Claims & Denials Resolution

Bionic Prosthetics & Orthotics Group LLC; Merrillville (IN); On-site; USD 42,000 - 62,000; Full time

Job summary

Bionic Prosthetics and Orthotics is seeking an Accounts Receivable Specialist focusing on older and outstanding insurance claims to maximize reimbursement. This role concentrates on insurance claims and collections rather than traditional accounting tasks, with no remote work option.

Responsibilities include reviewing aged claims, researching payment delays, and following up with insurers to resolve issues and denials.

Qualifications

• Previous experience with medical insurance billing, claims follow-up, or healthcare accounts receivable
• Experience working with aged or difficult-to-collect insurance claims strongly preferred
• Knowledge of insurance processes, claim denials, appeals, and payer requirements
• Strong research and problem-solving skills
• Excellent attention to detail and organization
• Ability to communicate professionally with insurance companies and internal staff
• Ability to manage a large volume of accounts and maintain consistent follow-up
• Experience with medical billing or practice management software preferred

Responsibilities

• Review and manage aged and outstanding insurance claims
• Research older claims to determine the reason for non-payment or delayed payment
• Contact insurance companies to obtain claim status and resolve outstanding issues
• Follow up on denied, rejected, underpaid, and unpaid claims
• Submit corrected claims, appeals, reconsiderations, and supporting documentation as needed
• Identify and resolve billing issues preventing payment
• Review EOBs, remittance information, and claim history
• Maintain detailed documentation of all claim follow-up and correspondence
• Develop effective follow-up strategies for difficult or aging claims
• Work with internal billing and clinical teams to obtain information needed to resolve claims
• Monitor assigned accounts and consistently follow up until claims are resolved
• Meet established productivity and collection goals
• Perform other duties as assigned

Skills

Medical billing

Claims follow-up

Healthcare AR

Denials & appeals

Attention to detail

Professional communication

High-volume processing

Job description

Bionic Prosthetics and Orthotics is seeking an Accounts Receivable Specialist focusing on older and outstanding insurance claims to maximize reimbursement. This role concentrates on insurance claims and collections rather than traditional accounting tasks, with no remote work option.

Responsibilities include reviewing aged claims, researching payment delays, and following up with insurers to resolve issues and denials.