Accounts Receivable Specialist

The Intersect Group; Phoenix (AZ); On-site; USD 42,000 - 64,000; Full time

Job summary

The Intersect Group is seeking an Insurance Claims Follow-Up specialist to support medical billing operations. This role focuses on ensuring timely claim payments and accurate adjudication across multiple insurers.

You will review denials, resubmit claims, update patient demographics, and communicate with providers and insurers to maintain clean claim submissions. Strong attention to detail and ability to manage deadlines are essential.

Responsibilities

• Follows up with insurance companies and ensures claims are paid/processed.
• Resubmits insurance claims that have received no response or are not on file, within filing limits.
• Reviews and appeals unpaid and denied claims, analyzing coding, insurance eligibility, and contract requirements.
• Makes changes to demographic and insurance information to produce clean claims.
• Researches and prepares insurance credits for refund approval.
• Prioritizes work to maximize turnaround time.
• Meets or exceeds productivity standards in daily assignments and accurate production.
• Maintains an error rate in accordance with departmental policy.
• Answers and responds to external and internal phone calls promptly.
• Checks and responds to emails in a timely and professional manner.

Job description

Responsibilities

MAIN

• :Follows-up with insurance companies and ensures claims are paid/processed. Works all accounts with understanding of all applicable insurance and/or CMS regulations
• .Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance’s contracted filing limits
• .Reviews and appeals unpaid and denied claims as appropriate. This includes analysis of coding, insurance eligibility, contract requirements, etc. that ensures proper billing
• .Makes changes to demographic and insurance information as necessary in order to produce a clean claim
• .Researches and prepares insurance credits for refund approval
• .Prioritize work to maximize turn-around time
• .Meets or exceeds productivity standards in the completion of daily assignments and accurate production
• .Maintain an error rate in accordance with departmental policy
• .Answer and respond to external and internal phone calls in a timely and professional manner
• .Check and respond to emails in a timely and professional manner