Accounts Receivable (AR) Specialist — Medical Billing

GenMediTech; New Jersey; On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical insurance allowance

Monthly performance bonuses

Job summary

GenMediTech is seeking an AR Specialist to manage the full accounts receivable cycle and ensure timely collections in a U.S. healthcare environment.

Responsibilities include monitoring claims, following up with insurers, addressing denials, and coordinating with Billing/Coding teams to resolve root causes. This role offers growth to Senior AR Specialist and Team Lead paths.

Qualifications

• 1–3 years of U.S. medical billing AR follow-up experience.
• Strong knowledge of EOBs, ERAs, CPT/ICD/HCPCS codes.
• Familiar with EMR/EHR and billing systems (preferred).
• HIPAA compliance and confidentiality awareness.
• Excellent analytical and problem-solving skills.
• Ability to manage large volumes of accounts accurately.

Responsibilities

• Perform timely follow-ups on outstanding insurance claims via phone calls and payer portals.
• Review claims statuses and identify reasons for denials, rejections, or underpayments.
• Initiate reprocessing, appeals, and corrected claims based on payer feedback.
• Work claims across Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, and commercial payers.
• Analyze denial trends and categorize issues (coding, eligibility, credentialing, medical records, billing errors).
• Prepare appeal letters with appropriate supporting documents.
• Coordinate with billing, coding, and credentialing teams to resolve root causes.
• Review EOBs, ERAs, and payment discrepancies.
• Communicate payment variances to team leads for correction.
• Ensure accurate posting and adjustments within the system.

Skills

Medical billing

AR follow-up

Attention to detail

HIPAA compliance

Analytical thinking

Tools

eClinicalWorks

CareCloud

DrChrono

AdvancedMD

Athena

Job description

Department: Revenue Cycle Management (RCM) / Accounts Receivable

Position Overview

The AR Specialist is responsible for managing the full Accounts Receivable cycle, ensuring timely follow-up with insurance companies, resolving claim denials, and driving overall collections performance. This role requires strong analytical skills, excellent communication, and a deep understanding of U.S. healthcare billing, insurance guidelines, and payer-specific policies.

Key Responsibilities

• Perform timely follow-ups on outstanding insurance claims via phone calls and payer portals.
• Review claims statuses and identify reasons for denials, rejections, or underpayments.
• Initiate reprocessing, appeals, and corrected claims based on payer feedback.
• Work claims across Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, and commercial payers.
• Analyze denial trends and categorize issues (coding, eligibility, credentialing, medical records, billing errors).
• Prepare appeal letters with appropriate supporting documents.
• Coordinate with billing, coding, and credentialing teams to resolve root causes.
• Review EOBs, ERAs, and payment discrepancies.
• Communicate payment variances to team leads for correction.
• Ensure accurate posting and adjustments within the system.

4. Documentation & Reporting

• Maintain detailed notes for each account in the system.
• Generate daily/weekly reports on AR aging, denial trends, and collection performance.
• Track progress against monthly AR/collection targets.

5. Communication & Coordination

• Liaise with internal teams (Billing, Coding, Credentialing) to resolve account issues.
• Communicate clearly with insurance representatives and elevate unresolved matters when needed.
• Provide regular updates to Team Lead/Manager on account statuses.

Required Skills & Qualifications

• Minimum 1–3 years of experience in U.S. medical billing AR follow-up.
• Strong understanding of EOBs, ERAs, CPT, ICD, HCPCS codes, and common denial codes.
• Familiar with EMR/EHR and billing systems such as eClinicalWorks, CareCloud, DrChrono, AdvancedMD, or Athena (preferred).
• Strong analytical and problem‑solving skills.
• Ability to handle large volumes of accounts with accuracy and attention to detail.
• Knowledge of HIPAA compliance and confidentiality standards.

Preferred Qualifications

• Experience working for U.S.-based clinics, urgent care, specialists, or multi‑specialty practices.
• Familiarity with RCM KPIs — aging buckets, first‑pass resolution, denial rates, and collection % targets.
• Ability to work independently and in a fast‑paced environment.
• Strong follow‑up discipline and time management.

KPIs / Performance Expectations

• Maintain AR aging under assigned thresholds (e.g., <90 days>).
• Meet monthly collection and follow‑up targets.
• Reduce denial rates through timely resolution.
• Maintain accurate account documentation and follow‑up logs.
• Zero tolerance for HIPAA violations.
• Competitive salary package.
• Monthly performance bonuses based on KPIs.
• Medical insurance allowance (if applicable).
• Professional development and training.
• Growth path to Senior AR Specialist / Team Lead.