AR Specialist II – Patient Billing & Payer Claims

UC Health; Cincinnati (OH); On-site; USD 55,000 - 75,000; Full time

Job summary

UC Health in Cincinnati, OH, is seeking an experienced Revenue Cycle Accounts Receivable professional to manage payer follow-up and ensure timely reimbursement. The role collaborates with payers and internal teams to resolve denials, monitor accuracy, and maintain HIPAA-compliant practices.

The candidate will analyze data, identify trends, and support continuous quality improvement. 3–5 years of relevant experience and a high school diploma or GED are required, with an associate degree preferred.

Qualifications

• Minimum required: High School Diploma or GED.
• Preferred: Associate degree.

Responsibilities

• Communicates directly with payers to follow up on outstanding claims and achieve timely reimbursement.
• Monitors and reviews denial reason codes to identify root causes; works with payer contracting, other areas of the revenue cycle, and payer representatives, if necessary to resolve issues
• Analyzes data to track collection efforts, identify trends, and provide team with updates and ideas for improvement
• Monitors payer files for accuracy, ensures payer documentation is completed by follow-up staff, and assists in updating files with pertinent information as necessary
• Assists other follow-up staff in identifying high-risk accounts and prioritizing follow-up efforts
• Helps to work and resolve accounts from other staff members’ workloads to prevent backlogs and fills in as needed for absent staff
• Maintains superior understanding of claims management, third-party payer guidelines, state and federal regulations, and all other functions of the job; educates and trains other follow-up staff as needed
• Maintains compliance with HIPAA guidelines and ensures staff maintain discrepancy when handling patient information
• Works independently to resolve claims issues
• Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress
• Offers suggestions to improve individual and team productivity
• Maintains a quality review score of 90% or greater on department quality reviews
• Assists supervisor with identifying departmental areas in need of improvements

Education

High School Diploma or GED

Associate degree

Job description

UC Health in Cincinnati, OH, is seeking an experienced Revenue Cycle Accounts Receivable professional to manage payer follow-up and ensure timely reimbursement. The role collaborates with payers and internal teams to resolve denials, monitor accuracy, and maintain HIPAA-compliant practices.

The candidate will analyze data, identify trends, and support continuous quality improvement. 3–5 years of relevant experience and a high school diploma or GED are required, with an associate degree preferred.