Healthcare Claims & AR Specialist (Denials & Refunds)

externallincarecareers; Lenexa (KS); On-site; USD 42,000 - 52,000; Full time

Job summary

externallincarecareers is seeking an Accounts Receivable/Payer Specialist in Lenexa, KS to manage payer communications, adjudicate claims, and maintain AR records. The role requires strong communication, multitasking, and knowledge of insurance guidelines. A medical field background is preferred.

The position is on site with opportunities to support additional PAC team needs. The ideal candidate maintains accuracy in documentation, handles inquiries, and collaborates across departments to reduce

Qualifications

• High School Diploma or GED is required.
• Past performance shows solid evidence of insurance qualifications and guidelines.
• Knowledge of telephone etiquette and adequate oral and written communication skills.
• Shows effective multitasking skills.
• Positive and cooperative attitude in working and communicating with individuals at all levels of the organization.
• Knowledge of medical field preferred.

Responsibilities

• Contacts payers for medical claims status, followup denials, or partial payments.
• Obtains payer requirements for timely adjudication of claims.
• Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company.
• Helps facilitate interoffice communication on error and denial trends.
• Researches credit balances and initiates refunds as required.
• Documents all activity in customer's computer account.
• Answers Accounts Receivable phone inquiries.
• Works assigned RBCO reports.
• Available to assist other PACs with questions or collection needs.

Skills

Phone etiquette

Communication skills

Multitasking

Positive attitude

Cooperative attitude

Education

High School Diploma or GED

Insurance knowledge

Medical field knowledge preferred

Job description

externallincarecareers is seeking an Accounts Receivable/Payer Specialist in Lenexa, KS to manage payer communications, adjudicate claims, and maintain AR records. The role requires strong communication, multitasking, and knowledge of insurance guidelines. A medical field background is preferred.

The position is on site with opportunities to support additional PAC team needs. The ideal candidate maintains accuracy in documentation, handles inquiries, and collaborates across departments to reduce