Hospital AR Specialist: Billing & Denials Expert

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

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