AR Billing Specialist — Claims, Denials & Collections

FMC Health; Amarillo, Northern (TX, KY); Hybrid; USD 40,000 - 66,000; Full time

Job summary

Southwest Neuro in Amarillo, TX seeks an AR Specialist to cross-train in the Central Billing Office with a primary role and serve as backup across the department. You will read charts, code claims, audit documentation, and balance payments daily.

Responsibilities include reviewing CPT/ICD-10/HCFA terms, correcting rejections, posting payments, generating statements, and contacting patients for balances or payment plans. Teamwork and accuracy are essential.

Qualifications

• Excellent customer service skills are a must.
• Strong understanding of CPT, ICD-10 and HCFA terminologies is highly preferred.
• Ability to read and interpret an insurance explanation of benefit (EOB) is highly preferred.
• Strong attention to detail and documentation skills are required.
• Excellent math, verbal, and communication skills.

Responsibilities

• Reading, analyzing, and interpreting patient charts to determine correct codes and modifiers are used when generating claims from the EHR system.
• Conducting audits and coding reviews to ensure all documentation is accurate and precise.
• Checking claim rejections daily, which includes correcting and resubmitting as necessary.
• Identify and resolve all outstanding claim processing issues, which may include contacting insurance for claim status, filing appeals on denied claims, submitting corrected claims, communicating within the department to identify denial trends.
• Daily posting and balancing of insurance and patient payments received through various methods (ERAs, EFTs, lockbox deposits, live checks, insurance credit cards, recurring ACH payments, recurring credit card payments, etc.).
• Generating patient statements on a monthly basis.
• Make outbound courtesy calls to patients to collect on outstanding balances and/or acceptable payment arrangements per policy.
• Answer incoming phone calls from patients regarding balances due on their account, process patient payments, and/or make acceptable payment arrangements per policy
• Research returned mail to locate better address/attempt to collect balance due on account.
• Prepare non-collectable accounts to transfer to outside collection agency per policy.
• Assist in other duties as assigned.

Skills

Customer service

Attention to detail

Analytical thinking

Communication skills

Mathematics

Team player

Computer literacy

Tools

EHR system

Job description

Southwest Neuro in Amarillo, TX seeks an AR Specialist to cross-train in the Central Billing Office with a primary role and serve as backup across the department. You will read charts, code claims, audit documentation, and balance payments daily.

Responsibilities include reviewing CPT/ICD-10/HCFA terms, correcting rejections, posting payments, generating statements, and contacting patients for balances or payment plans. Teamwork and accuracy are essential.