Hospital A/R Specialist - EHS Patient Accounts - Full Time

20 Elliot Hospital of the City of Manchester; Manchester (NH); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Health, dental, vision coverage

Short term & long term disability

Accident insurance & life insurance

Tuition Reimbursement

Referral bonuses

Accrued earned time

403b retirement plan

Job summary

SolutionHealth is seeking an Hospital Accounts Receivable (AR) Specialist to manage timely and accurate billing, follow-up, and resolution of third-party payer claims, including Medicare, Medicaid, and commercial insurance. You will prepare and monitor UB-04 claims, collaborate with coding and patient access teams, and help ensure compliant reimbursement.

The role requires 2+ years in billing with a high school diploma or GED, offering a path in a collaborative health system with comprehensive

Qualifications

• High School Diploma or GED required and/or equivalent experience of 2+ years in billing experience.

Responsibilities

• Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct revenue codes, modifiers, and service lines.
• Perform account follow-up on outstanding facility balances, securing reimbursement in compliance with hospital policies and payer rules.
• Assist Denial and Payment Variance teams by researching, analyzing, and resolving denials specific to hospital claims, escalating complex issues as needed.
• Collaborate with coding, revenue integrity, patient access, and clinical departments to resolve charge capture, documentation, or registration issues that impact claim accuracy.
• Additional duties as assigned.

Skills

Accounts Receivable

Hospital Billing

Follow-up

Communication

Education

High School Diploma or GED

Tools

UB-04 Billing

DRG/OPPS Knowledge

Job description

Come work at the best place to give and receive care! Job Description:

About the Job:

The Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. This role ensures proper reimbursement by preparing, submitting, and monitoring claims, and resolving outstanding account balances. The AR Specialist serves as a representative between the hospital, payers, and other internal departments to promote efficient claims resolution and compliance with federal, state, and payer-specific regulations.

What You’ll Do:

• Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct assignment of revenue codes, modifiers, and service lines
• Perform account follow-up on outstanding facility balances, securing reimbursement in compliance with hospital policies, government regulations, and payer-specific billing rules (e.g., DRG, APC, OPPS methodologies)
• Assist Denial and Payment Variance teams by researching, analyzing, and resolving technical, clinical, and administrative denials specific to hospital claims, escalating complex issues when necessary
• Collaborate with coding, revenue integrity, patient access, and clinical departments to resolve charge capture, documentation, or registration issues that impact claim accuracy
• And more.

Who You Are:

High School Diploma or GED required and/or equivalent experience of 2+ years in billing experience, Required

Why You’ll Love Us:

• Health, dental, prescription, and vision coverage for full-time & part-time employees
• Short term, long term disability, Accident insurance, & life insurance
• Tuition Reimbursement
• Referral bonuses
• Accrued earned time for full-time & part-time employees
• 403b Retirement plans, with generous employer contributions
• And more!

Work Shift:

7 am - 3:30 pm , 7:30 am - 4 pm, 8am - 4:30 pm, 8:30 am - 5 pm, 9am - 5:30 pm

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

SolutionHealth is an integrated health system uniquely focused on providing access to high-value primary and specialty care that meets the growing needs of the communities we serve. Together, Southern New Hampshire Health and Elliot Health System, the founding members of SolutionHealth, are committed to innovative models of care and collaboration that improve the health and well-being of more than half of million residents of our region. We start with committing to do the right thing, for each patient, always.