AR Specialist

Pana Healthcare Solutions; Town of Plymouth (WI); Hybride; USD 45 000 - 65 000; Plein temps

Résumé du poste

panaHEALTH is hiring an Accounts Receivable (AR) Specialist to join our Revenue Cycle Management team. You will manage insurance claim follow-up, AR management, payment tracking, and denied claims while collaborating with internal RCM teams to support timely reimbursement.

This role targets early-career professionals developing skills in medical billing, insurance claims, AR follow-up, denial management, and US healthcare Revenue Cycle Management.

Qualifications

• 0–2 years of experience in medical billing, insurance claims, accounts receivable, or related field.
• High school diploma or equivalent.
• Basic understanding of US healthcare insurance and reimbursement processes.
• Familiarity with medical claims, EOBs, denials, rejections, and AR aging.

Responsabilités

• Review submitted insurance claims and monitor claim status through payer portals.
• Follow up on unpaid, underpaid, rejected, and denied claims.
• Review claim rejection reports and help correct and resubmit claims.
• Investigate delays and issues related to eligibility, authorization, documentation, coding, or billing.
• Review EOBs and payer responses to determine next actions.
• Prepare corrected claims, reconsiderations, and appeals when required.
• Monitor AR aging reports and prioritize accounts.
• Maintain accurate patient and account information in billing systems.
• Document payer communications and follow-up actions.
• Communicate with insurance companies via phone, portals, and correspondence.
• Collaborate with billing, coding, and collections teams to resolve issues.
• Escalate complex issues to appropriate team members.

Connaissances

Accounts Receivable

Medical Billing

AR follow-up

HIPAA compliance

Attention to detail

Verbal and written communication

Time management

Formation

High school diploma or equivalent

Outils

Excel

Outlook

RCM software

Description du poste

We\'re Hiring: Accounts Receivable (AR) Specialist

panaHEALTH is looking for a detail-oriented Accounts Receivable (AR) Specialist to join our Revenue Cycle Management team.

In this role, you will handle insurance claim follow-up, accounts receivable management, payment tracking, and unpaid or denied claims. You will also work with internal RCM teams to investigate claim issues and support timely reimbursement.

This position is ideal for an early-career professional who wants to develop skills in medical billing, insurance claims, AR follow-up, denial management, and US healthcare Revenue Cycle Management.

About the Role

As an AR Specialist, you will monitor outstanding claims and follow up with insurance payers to resolve payment issues. You will review claim information, investigate delays, and determine the appropriate next steps.

You will also communicate with insurance companies, update account information, and document every follow-up activity accurately.

Because AR work requires careful tracking, strong attention to detail and consistent follow-up are essential.

Key Responsibilities

• Review submitted insurance claims and monitor claim status through payer portals.
• Follow up on unpaid, underpaid, rejected, and denied claims.
• Review claim rejection reports and help correct and resubmit claims.
• Investigate delayed or denied payments caused by eligibility, authorization, documentation, coding, or billing issues.
• Review Explanation of Benefits (EOBs) and payer responses to determine the next action.
• Prepare corrected claims, reconsiderations, and appeals when required.
• Monitor AR aging reports and prioritize accounts that require follow-up.
• Maintain accurate patient and account information in billing and RCM systems.
• Document payer communications, claim status, follow-up actions, and next steps.
• Communicate with insurance companies through phone calls, payer portals, and written correspondence.
• Work with billing, coding, collections, and other RCM teams to resolve account issues.
• Escalate complex or recurring claim issues to the appropriate team members.
• Identify recurring denial and payment issues and share findings with the RCM team.
• Protect patient information and follow HIPAA and applicable healthcare compliance requirements.
• Meet established productivity, quality, and follow-up targets.

Qualifications

• 0-2 years of experience in medical billing, insurance claims, accounts receivable, collections, healthcare administration, or a related field.
• High school diploma or equivalent.
• Basic understanding of the US healthcare insurance and reimbursement process.
• Familiarity with medical claims, EOBs, denials, rejections, and AR aging.
• Basic knowledge of medical billing and coding terminology.
• Ability to navigate insurance payer portals and research claim information.
• Strong attention to detail and accuracy.
• Good analytical and problem-solving skills.
• Strong written and verbal communication skills.
• Good organization and time-management skills.
• Ability to manage multiple accounts and follow-up activities.
• Comfortable using computer systems, spreadsheets, and healthcare software.
• Proficiency in Microsoft Office, especially Excel and Outlook.
• Ability to work independently and collaborate with remote teams.
• Willingness to learn healthcare RCM processes and payer requirements.

Preferred Skills

• Experience or exposure to medical billing and insurance collections.
• Knowledge of claim submission and claim status processes.
• Familiarity with denial management and appeals.
• Understanding of AR aging and outstanding account follow-up.
• Experience with EHR, EMR, billing, or RCM software.
• Basic knowledge of Medicare, Medicaid, and commercial payer processes.
• Strong follow-up and investigative skills.

About panaHEALTH

panaHEALTH provides healthcare support and Revenue Cycle Management solutions to healthcare providers across the United States.

Our services include:

• Revenue Cycle Management
• Medical Billing
• Medical Coding
• Denial Management
• Accounts Receivable Management
• Medical Documentation
• Medical Scribe Services
• Virtual Medical Assistant Services
• Credentialing
• Healthcare back-office support

Our RCM teams support healthcare organizations with billing, claims, collections, denial management, and accounts receivable processes.

Why Join panaHEALTH?

• Build a career in US healthcare Revenue Cycle Management.
• Gain practical experience in AR and insurance claim follow-up.
• Develop knowledge of medical billing and reimbursement processes.
• Work with experienced healthcare and RCM professionals.
• Work in a remote and collaborative environment.
• Access professional development and career growth opportunities.
• Gain exposure to different healthcare billing and RCM processes.