Insurance AR Specialist

CBS Medical Billing & Consulting LLC; Exeter (NH); Sur place; USD 42 000 - 66 000; Plein temps

Résumé du poste

CBS Medical Billing & Consulting LLC in Exeter, NH seeks an Accounts Receivable Specialist to support clients with timely insurance follow-up, denial management, and precise documentation. You’ll investigate unpaid claims and work with billing teams to move accounts toward resolution.

This role emphasizes independent work, attention to detail, strong communication with insurance representatives, and proficiency with payer portals.

Qualifications

• Experience in medical accounts receivable, insurance follow-up, or denial management.
• Understanding of insurance claim processing, accounts receivable aging, and common reasons for claim denials.
• Strong research and problem-solving skills, with the persistence to follow claims through resolution.
• Clear, professional communication skills and confidence speaking with insurance representatives.

Responsabilités

• Follow up on outstanding claims and review AR aging >30 days for assigned clients.
• Resolve denials and payment issues per client agreements and procedures.
• Escalate aging accounts (90+ days) to the Client Success Manager for review.
• Identify and communicate trends in recurring claim and denial issues to the Billing Team Lead.
• Support accurate billing resources by communicating payer requirements and denial tips.
• Document actions, payer responses, and follow-up in billing systems.

Connaissances

Accounts receivable

Insurance follow-up

Denial management

Documentation

Communication

Time management

Independent work

Outils

Billing software

Payer portals

Description du poste

Are you detail-oriented, persistent, and motivated by resolving outstanding insurance claims? We’re looking for an Accounts Receivable Specialist to support our clients through timely insurance follow-up, effective denial management, and accurate documentation.

In this role, you’ll investigate unpaid claims, identify barriers to payment, and collaborate with our billing and client service teams to keep accounts moving toward resolution. This position has no supervisory responsibilities.

What You'll Do

• Follow up on outstanding claims. Review accounts receivable aged over 30 days for assigned clients, contacting insurance payers by phone and through payer portals to determine claim status and next steps.
• Resolve denials and payment issues. Verify claim receipt, review claim details, research denials, identify appeal needs, and complete follow-up tasks according to each client’s service agreement and company procedures.
• Escalate aging accounts. Report outstanding claims aged over 90 days to the Client Success Manager for review and guidance.
• Identify and communicate trends. Share recurring claim, denial, and payment issues with the Billing Team Lead and document trends in client information sheets.
• Support accurate billing resources. Communicate payer requirements and billing or denial tips to help keep client information sheets current.
• Document your work. Maintain clear, accurate, and timely notes in each applicable billing system, including actions taken, payer responses, and required follow-up.
• Learn and use client systems. Develop and maintain proficiency in the software programs and payer portals used for your assigned accounts.
• Stay current. Participate in continuing education and company training to strengthen your knowledge of billing, payer requirements, and denial management.
• Support daily operations. Answer routine incoming calls and follow company policies, procedures, and confidentiality requirements.

What You’ll Bring

• Experience in medical accounts receivable, insurance follow-up, or denial management.
• Understanding of insurance claim processing, accounts receivable aging, and common reasons for claim denials.
• Strong research and problem-solving skills, with the persistence to follow claims through resolution.
• Clear, professional communication skills and confidence speaking with insurance representatives.
• Strong attention to detail and the ability to document work accurately across multiple systems.
• Effective time management skills and the ability to prioritize outstanding claims across assigned accounts.
• Comfort learning new billing software and navigating insurance payer portals.
• The ability to work independently while communicating effectively with teammates and leadership.