Accounts Receivable Insurance Authorization Specialist

Preferred Care Management; Lakewood Township (NJ); Hybrid; USD 52,000 - 75,000; Full time

Job summary

Preferred Care Management is seeking an Accounts Receivable Insurance Authorization Specialist to join our billing team in New Jersey. This role combines AR duties with coordinating insurance authorizations for patient services.

You will verify insurance eligibility, submit prior authorizations, review EOBs, and pursue denied claims while ensuring compliance with internal policies and payer requirements.

Qualifications

• Experience with accounts receivable and healthcare billing
• Familiarity with insurance pre-authorizations and eligibility checks
• Ability to review EOBs and analyze claim denials

Responsibilities

• Resolve billing disputes with customers or payors.
• Maintain records of payments from patients and insurers.
• Follow up on unpaid or denied claims and document actions.
• Coordinate and process prior authorizations for hospice services.
• Verify patient insurance eligibility and benefits for ordered services.
• Troubleshoot authorization issues in billing systems.
• Maintain contact management for authorization status and documents.
• Work with plans to pre-authorize and re-authorize services.
• Review EOBs and research denials or reductions.
• Prepare and submit claims to third‑party carriers electronically or on paper.

Skills

Accounts receivable

Billing and collections

Insurance authorization

Eligibility verification

Documentation submission

Denials research

Job description

Accounts Receivable Insurance Authorization Specialist

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 ensure 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.