Accounts Receivable Insurance Authorization Specialist

Preferred Care Health Centers; Lakewood Township (NJ); On-site; USD 52,000 - 76,000; Full time

Job summary

Preferred Care Health Centers in Lakewood Township, NJ seeks an Accounts Receivable Insurance Authorization Specialist to manage billing and ensure insurance pre-authorization and eligibility verification support for services.

The role requires coordination of authorizations, accurate documentation, and proactive denial research to optimize cash flow and compliance with payer requirements.

Qualifications

• Experience in medical billing and AR workflows.
• Strong knowledge of insurance pre-authorization and eligibility checks.
• Ability to review EOBs and research denials.
• Excellent attention to detail and documentation.

Responsibilities

• Resolve billing disputes and discrepancies with customers or third parties.
• Maintain records of all payments from patients, insurance companies, Medicare, or other payors.
• Follow up on unpaid or denied claims and document actions.
• Coordinate and process prior authorizations for hospice services with carriers or Medicare.
• Verify patient insurance eligibility and benefits for ordered services.
• Troubleshoot authorization-related issues in the billing system.
• Maintain contact management for authorization status and documentation.
• Review EOBs and research denials or reductions.
• Prepare and submit claims to third-party insurance carriers electronically or on paper.
• Ensure compliance with healthcare plan requirements and internal policies.

Skills

Billing & collections

Authorization coordination

Eligibility verification

Patient communication

Education

Associate degree in Healthcare Administration

Tools

Practice management software

Electronic claims submission

Job description

Basic Summary

The Accounts Receivable Insurance Authorization Specialist (ARIA Specialist) combines the core duties of accounts receivable management with the specific task of coordinating insurance authorizations for patient services. This role ensures that billing and collections processes are supported by proper insurance pre-authorization, eligibility verification and documentation submission.

Primary Responsibilities

• Resolve billing disputes and discrepancies with customers or third parties.
• Maintain accurate records of all payments received from patients, insurance companies, Medicare, or other payors.
• Follow up on unpaid, denied, or rejected claims and document all actions.
• Coordinate and process prior authorizations for hospice services, ensuring all required documentation is submitted to insurance carriers or Medicare.
• Verify patient insurance eligibility and benefits, confirm coverage for ordered services.
• Troubleshoot authorization-related issues in the practice management or billing system.
• Maintain contact management for tracking authorization status and required documentation.
• Work with insurance plans to pre-authorize and re-authorize patient services.
• Review Explanation of Benefits (EOB) and research denials, rejections, or excessive reductions.
• Prepare and submit accurate claims to third-party insurance carriers, either electronically or via hard copy.
• Ensure compliance with healthcare plan requirements and internal billing policies.