AR Specialist II

RiseMe; Brentwood (TN); On-site; USD 60,000 - 75,000; Full time

Job summary

ScionHealth is seeking an AR Specialist II to independently manage insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, and financial documentation. The role requires prior billing experience, strong analytical abilities, and proficiency with EMR systems while maintaining HIPAA compliance.

Collaboration with accounting and management is essential. Candidates typically have 3+ years of physician billing experience and knowledge of rural

Qualifications

• Minimum 3 years of physician billing experience.
• Experience with Rural Health Clinic or Provider-Based Billing preferred but not required.
• Proficient in analyzing denials and posting payments.
• HIPAA compliant with strong communication skills.

Responsibilities

• Analyze insurance denials and appeals.
• Troubleshoot account issues including demographic and authorization concerns.
• Process refunds and reconcile bank deposits.
• Review EOBs for correct payment posting.
• Collaborate with accounting and management to resolve issues.
• Maintain documentation and perform claim resubmissions.

Skills

Insurance denial management

Trend reporting

EMR navigation

Analytical/communication skills

Education

High school diploma or equivalent

Job description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The AR Specialist II independently manages insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, and financial documentation. This role requires prior billing experience and proficiency in identifying and resolving payer-related issues.

Essential Functions

• Analyze insurance denials and rejections and process appeals as needed.
• Troubleshoot account issues, including demographic discrepancies and authorization concerns.
• Process and reconcile refund requests and banking deposits.
• Review and interpret EOBs for proper payment posting.
• Collaborate with accounting and management to resolve issues.
• Maintain documentation and perform claim resubmissions.

Knowledge/Skills/Abilities/Expectations

• Advanced knowledge of insurance denial management.
• Ability to trend and report recurring issues.
• Skilled in EMR navigation and HIPAA compliance.
• Strong analytical, communication, and collaboration skills.

Education

• High school diploma or equivalent.

Licenses/Certifications

• None required

Experience

• Minimum of 3 years of physician billing experience.
• Experience with Rural Health Clinic or Provider-Based Billing preferred but not required.