AR Specialist

Launch Tennessee; United States; Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Flexible PTO

Remote/hybrid environment

401k

Job summary

Prompt Therapy Solutions, Inc is seeking an Accounts Receivable Specialist to manage the revenue cycle for multi‑specialty medical services. You will handle billing, resubmissions, and collections while aligning with HIPAA and regulatory requirements.

The role requires 1–3 years in medical claims billing, proficiency with Google for Business and MS Office, and strong communication skills. A hybrid/remote setup and comprehensive benefits are offered.

Qualifications

• 1–3 years of experience in medical insurance claims billing and collections.
• Proficient in Google for Business, MS Office, Excel and Word.
• Experience with physical therapy EMR systems is a plus.
• Customer success oriented attitude; excellent communication and negotiation skills.
• Problem-solving aptitude.

Responsibilities

• Prepare and resubmit corrected claims to insurance companies electronically or on paper per payer guidelines.
• Analyze first-pass rejected claims and ensure complete information for clean claims.
• Follow up on status of primary and secondary billing claims to expedite payment.
• Review and process claim appeals with supporting documentation to maximize reimbursement.
• Evaluate accounts for adjustments or write-offs based on collectability and report to Manager.
• Identify billing problems or discrepancies and alert management for resolution.
• Generate and distribute monthly patient balance statements per Explanation of Benefits.

Skills

Communication

Negotiation

Problem solving

Customer success

Tools

Google for Business

MS Office

Excel

Word

EMR systems

Job description

Job Title: Accounts Receivable Specialist

The Role

The Accounts Receivable Specialist plays a crucial role in our revenue cycle management team, dedicated to ensuring the accurate, compliant, and timely billing and reimbursement of multi-specialty medical professional services from diverse insurance payers and patients. This pivotal position involves meticulous attention to detail in the collection of unpaid patient accounts, setting and achieving specific goals, proficiently managing re‑billing, payment posting, contractual write‑offs, adjustments, and appeals in accordance with multi‑state and federal insurance regulations. The ideal candidate will demonstrate a strong commitment to maintaining revenue integrity while upholding the highest standards of professionalism and compliance.

Key Responsibilities

• Prepare and accurately resubmit comprehensive corrected claims to various insurance companies, adhering closely to specific payer guidelines and contractual requirements, both electronically and via paper submission.
• Conduct thorough analysis of first pass rejected claims, ensuring completeness and accuracy of information for subsequent clean claim submission, thereby minimizing delays in reimbursement.
• Perform diligent research and follow‑up on the status of primary and secondary billing claims for assigned insurance plans, proactively resolving any outstanding issues to expedite payment.
• Review, assess, and process all claim appeals, meticulously resubmitting to insurance carriers with comprehensive and accurate supporting documentation to maximize reimbursement.
• Evaluate customer accounts and recommend adjustments or write‑offs to the Manager based on the collectability of accounts with insurance carriers or patients, maintaining a balanced approach to revenue recovery.
• Identify and promptly report any billing problems, errors, or discrepancies to management, facilitating proactive resolution of billing trends and ensuring ongoing revenue integrity.
• Generate and distribute monthly patient balance due statements in accordance with the explanation of benefits received from insurance carriers, fostering transparent communication, and facilitating timely resolution of outstanding balances.

Minimum Requirements

• One to three (3) years of experience in medical insurance claims billing and collections preferred.
• Proficient in Google for Business, MS Office, Excel and Word.
• Experience with physical therapy EMR systems is a plus.
• A customer success-oriented attitude.
• Excellent communication and negotiation skills.
• Problem‑solving aptitude.

Perks and Benefits

• Competitive salaries
• Remote/hybrid environment
• Potential equity compensation for outstanding performance
• Flexible PTO
• Company‑wide sponsored lunches
• Company paid disability and life insurance benefits
• Company paid family and medical leave
• Medical, dental, and vision insurance benefits
• Discounted pet insurance
• FSA/DCA and commuter benefits
• 401k
• Complimentary subscription to digital fitness classes and wellness content
• Recovery suite at HQ – includes a cold plunge, sauna, and shower

HIPAA Requirements

All associates are required to comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations regarding the protection of patient health information. This includes adherence to the organization's Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. The specific statements provided in this job description are not exhaustive and may be subject to change based on evolving business needs. Associates may be required to perform additional duties as assigned.

Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employees.