Healthcare AR Specialist - Billing & Denials Expert

Elizabeth Richardson Center, Inc

Springdale (AR)

On-site

USD 45,000 - 50,000

Full time

3 days ago
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Job summary

Elizabeth Richardson Center, Inc. is seeking an Accounts Receivable Specialist in Springdale, AR to support timely and accurate reimbursement for ERC programs. You will prepare third-party billing, post payments, monitor aging, and resolve claim issues in collaboration with program staff, payers, and management.

The role emphasizes HIPAA compliance, adherence to payer requirements, and maintaining precise records while driving timely payments and minimizing denials.

Qualifications

  • Strong attention to detail and commitment to accurate billing and recordkeeping.
  • Ability to analyze billing data, identify patterns, research discrepancies, and solve problems.
  • Working knowledge of accounts receivable processes, basic accounting principles, and financial chart of accounts.
  • Ability to learn payer systems, billing requirements, and new processes and adapt to changes.
  • Proficiency with computer systems and Microsoft Office Suite; ability to learn electronic medical record, payer portal, and accounting systems.
  • Effective written and verbal communication skills and the ability to work professionally with employees, individuals served, vendors, and payer representatives.
  • Ability to perform basic mathematical calculations accurately.
  • Knowledge of HIPAA requirements and the ability to maintain confidential information.

Responsibilities

  • Prepare, enter, submit, and track third-party billing for assigned programs accurately and on time.
  • Record accounts receivable and post payments in the accounting system; reconcile payment information as needed.
  • Monitor accounts receivable aging and follow up on outstanding, delayed, or unpaid balances.
  • Research rejected or denied claims, identify the cause, make or coordinate necessary corrections, and resubmit claims promptly.
  • Work to ensure claims are complete and accurate before submission to reduce denials and payment delays.
  • Communicate documentation or electronic medical record issues affecting billing to case managers or other appropriate program staff and follow through on resolution.
  • Monitor payer and billing requirement changes and communicate relevant updates to management and affected staff.
  • Work with government and private payer representatives to research claim status, resolve billing issues, and support timely payment.
  • Provide management with clear, accurate billing and accounts receivable reports or data as requested.
  • Assist program staff with prior authorization submissions and renewals, including correcting and resubmitting information when needed; this role supports the process rather than independently completing program-level authorizations.
  • Identify recurring billing or denial trends and communicate opportunities to improve processes, documentation, and collections.
  • Follow ERC procedures for approved adjustments and write-offs of uncollectible receivables.
  • Maintain confidentiality and comply with HIPAA, payer requirements, state licensing requirements, and applicable ERC policies.
  • Prioritize work with a sense of urgency to minimize the time between service delivery, claim submission, and payment.

Skills

Attention to detail
Billing analysis
AR processes
Microsoft Office
HIPAA compliance

Education

High school diploma
Two years accounting/billing experience
Postsecondary accounting education

Tools

Microsoft Office Suite

Job description

Elizabeth Richardson Center, Inc. is seeking an Accounts Receivable Specialist in Springdale, AR to support timely and accurate reimbursement for ERC programs. You will prepare third-party billing, post payments, monitor aging, and resolve claim issues in collaboration with program staff, payers, and management.

The role emphasizes HIPAA compliance, adherence to payer requirements, and maintaining precise records while driving timely payments and minimizing denials.

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