AR Specialist | Medicare

Infinx; United States; Remote; USD 34,000 - 55,000; Full time

Benefits offered by this job

401(k) Retirement Savings Plan

Medical, Dental, and Vision Coverage

Paid Time Off

Paid Holidays

Pet Care Coverage

Employee Assistance Program (EAP)

Discounted services

Job summary

NI2 Health, an Infinx Company, is seeking an AR Specialist | Medicare to support accounts receivable processes for Medicare accounts. You will post payments, perform adjustments, research AR discrepancies, and follow up on aged receivables to optimize revenue cycle operations.

Ideal candidates have at least 3 years of hospital and physician claims follow-up and denials management, with Medicare billing experience preferred.

Qualifications

• 3 years of experience in hospital and physician claims follow-up and denials management
• Medicare billing or Medicare follow-up experience strongly preferred
• Proficiency in MS Excel and MS Outlook
• Excellent written and verbal communication
• Excellent organizational, time management, and interpersonal skills

Responsibilities

• Process accounts receivable payments and adjustments
• Research and resolve AR discrepancies promptly
• Follow up on outstanding/aged receivables
• Maintain organized AR documentation
• Identify opportunities to improve AR processes
• Adapt quickly to proprietary tools and technology
• Other duties as assigned

Skills

AR follow-up

Denials management

Excel

Outlook

Communication skills

Time management

Interpersonal skills

Tools

Cerner

Epic

McKesson

CPSI

Meditech

Waystar

SSI

Quadax

Availity

Medicare DDE

Job description

About the Role:

The AR Specialist | Medicare supports the department in various functions, including supporting accounts receivable processes to drive revenue optimization specific to Medicare accounts. This role is critical in enabling efficient revenue cycle operations through robust AR management. This role involves payment posting, adjustments, AR research, follow-up, reporting, and collaborating on process improvements.

• Process accounts receivable payments and adjustments
• Research and resolve AR discrepancies promptly
• Follow up on outstanding/aged receivables
• Maintain organized AR documentation
• Identify opportunities to improve AR processes
• Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC, and Provider-based billing and AR follow-up knowledge
• Have a solid understanding of billing regulations related to Medicare and Medicare Advantage
• Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
• Have strong proficiency in managing RTP and denied claims, including the ability to determine the root cause, and providing requested information to health plans to resolve identified issues
• Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans
• Adapt quickly to proprietary tools and technology
• Other duties as assigned

ABOUT NI2 HEALTH, an Infinx Company

At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.

Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach. If you are looking to be mentored as a new graduate, come explore Ni2 Health www.ni2health.com and join a team of stars.

A 2025 Great Place to Work®

In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.

Applicant Requirements and Skills

Applicants must submit a full CV, cover letter and updated resume to be considered.

Position is remote.

• 3 years of experience in hospital and physician claims follow-up and denials management
• Medicare billing or Medicare follow-up experience strongly preferred
• Proficiency with hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, etc.
• Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, etc.
• Proficiency with Medicare DDE system
• Proficiency in MS Excel and MS Outlook
• Excellent written and verbal communication skills
• Excellent organizational, time management, and interpersonal skills

Company Benefits and Perks

Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.

• Access to a 401(k) Retirement Savings Plan.
• Comprehensive Medical, Dental, and Vision Coverage.
• Paid Time Off.
• Paid Holidays.
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.