AR Specialist

Capitol Imaging Services, LLC; Metairie (LA); On-site; USD 54,000 - 76,000; Full time

Job summary

Capitol Imaging Services, LLC seeks a Medical Accounts Receivable Revenue Specialist to optimize the healthcare billing lifecycle, ensure accurate reimbursement, and work closely with internal teams, vendors, payers, and patients.

You will focus on denial management, aging follow-up, posting payments, and revenue integrity, while maintaining compliance and delivering clear explanations of benefits and patient responsibilities.

Qualifications

• 1–3 years in medical billing and collections.
• Experience in Accounts Receivable or Revenue Cycle Management.
• Familiar with payer follow-up and denial resolution.

Responsibilities

• Manage denial resolution and appeals with vendors.
• Perform AR aging follow-up (30, 60, 90+ days).
• Post payments and reconcile accounts; resolve discrepancies.
• Communicate with patients and payers regarding EOBs and costs.

Skills

Analytical skills

Attention to detail

Communication skills

Collaboration

Education

High School Diploma or equivalent

Associate's or Bachelor's in Healthcare Administration or Accounting

Tools

Practice Management Systems

EHR/EMR

Excel

SharePoint

Job description

Medical Accounts Receivable (A/R) Revenue SpecialistPosition SummaryThe Medical Accounts Receivable (A/R) Revenue Specialist is responsible for managing and optimizing the healthcare billing lifecycle to ensure accurate, timely reimbursement. This role serves as a key liaison between internal teams, vendor partners, insurance payers, and patients, with a strong focus on denial resolution, A/R aging follow-up, and revenue integrity. The Specialist works to maximize cash flow while ensuring compliance with payer requirements and organizational policies.Key ResponsibilitiesClaims & Vendor ManagementPartner with external billing vendors to address claim rejections and payer requests for clarification.Provide guidance and feedback to vendor partners on claim corrections, rework, and resubmissions.Review escalated accounts requiring internal oversight or final resolution.Denial Management & AppealsCollaborate with vendor partners to identify denial trends, recurring payer issues, and root causes.Provide feedback and strategic direction on appeal approaches and payment resolution tactics.Authorize final adjustments after all appeal opportunities have been exhausted, ensuring appropriate documentation and compliance.Recommend process improvements to reduce future denials.Accounts Receivable Follow-UpProactively work A/R aging reports (30, 60, 90+ days) to identify unpaid or underpaid claims.Initiate payer tracers and follow-ups to secure claim adjudication and payment.Monitor high-risk and high-dollar accounts to prevent revenue leakage.Payment Posting & ReconciliationsEnsure accurate posting and reconciliation of insurance and patient payments.Transfer payments to patient balances when appropriate and process patient refunds in compliance with policy.Assist with account reconciliations and discrepancies resolution as needed.Patient & Insurance CommunicationAct as a liaison between patients and insurance payers to resolve billing questions.Clearly explain Explanation of Benefits (EOBs), patient responsibility, and out-of-pocket costs.Conduct professional and empathetic phone communication with patients and payer representatives.Qualifications & RequirementsEducationHigh School Diploma or equivalent requiredAssociate’s or Bachelor’s degree in Healthcare Administration, Accounting, or a related field preferredExperience1–3 years of experience in:Medical billing and collectionsAccounts Receivable or Revenue Cycle ManagementHealthcare payer follow-up and denial resolutionTechnical SkillsProficiency with Practice Management Systems and Electronic Health Records (EHR/EMR)Strong working knowledge of Microsoft Office, particularly:Excel (reports, aging analysis)SharePointMedical & Regulatory KnowledgeWorking knowledge of:Medical terminologyCPT and ICD-10 codingPayer guidelines and reimbursement rules for Medicare, Medicaid, and Commercial Insurance plansCore CompetenciesStrong analytical and problem-solving skillsExceptional attention to detail and accuracyEffective written and verbal communication skillsAbility to work collaboratively with internal teams and external vendor partnersSound judgment related to financial adjustments and account resolution