Healthcare AR Specialist: Patient Billing & Claims

CHC Solutions, Inc.; Pittsburgh (Allegheny County); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Competitive salary

Generous PTO

Health, dental and vision insurance

Life, AD&D and long-term disability

Career development

Inclusive workplace

Job summary

CHC Solutions, Inc. is seeking a Health Care Accounts Receivable Specialist in the Pittsburgh area to manage timely payment for medical supplies billed to insurance. You will review claims, correct denials, and follow up with payers and patients to gather documentation.

The role requires 1+ year of health care AR experience, healthcare education, and proficiency with Word/Excel/Outlook. Strong accuracy and a fast-paced work style are essential.

Qualifications

• Healthcare Administration certificate, bachelor’s degree or at least 2 years of relevant work experience
• Possess one year of experience with health care accounts receivable or an equivalent education
• Durable medical equipment or health care experience (preferred)
• Strong typing and computer skills, including Word, Excel and Outlook
• Committed to high-quality, error-free work
• Comfortable and effective working in fast-paced settings

Responsibilities

• Comply with all government regulations and professional standards for patient care.
• Maintain a positive, empathetic and professional attitude with customers at all times.
• Review and reconcile underpaid claims to ensure payments match payer contracts and fee schedules.
• Apply correct write-off codes and report pricing discrepancies.
• Correct and resubmit rejected claims using payer websites.
• Track unprocessed claims and follow up with payers to ensure proper submission.
• Contact patients, physicians and internal teams to gather needed documentation.
• Identify non-reimbursable claims and apply appropriate write-off codes.
• Monitor outstanding accounts receivable and resolve unpaid claims.
• Escalate payer issues and submit appeals for denied or short-paid claims.
• Respond to patient billing inquiries in compliance with HIPAA and fair debt collection laws.
• Communicate professionally with other departments to support claim resolution.

Skills

Typing

Word

Excel

Outlook

Healthcare accounts receivable

Education

Healthcare Administration certificate

Bachelor’s degree

Tools

Word

Excel

Outlook

Job description

CHC Solutions, Inc. is seeking a Health Care Accounts Receivable Specialist in the Pittsburgh area to manage timely payment for medical supplies billed to insurance. You will review claims, correct denials, and follow up with payers and patients to gather documentation.

The role requires 1+ year of health care AR experience, healthcare education, and proficiency with Word/Excel/Outlook. Strong accuracy and a fast-paced work style are essential.