Insurance AR Specialist

Salem Health Hospitals & Clinics; Salem (OR); On-site; USD 52,000 - 72,000; Full time

Job summary

Salem Health Hospitals and Clinics seeks an Insurance AR Specialist to manage moderate to complex claims and denials, ensuring timely submission and maximizing reimbursement. Ideal candidates have 3+ years in medical billing and knowledge of payer contracts and regulations. EPIC Resolute experience is preferred.

You will work with payers and leadership to reduce accounts receivable and support billing compliance and financial performance in a hospital setting.

Qualifications

• 3 years relevant experience in medical or professional billing.

Responsibilities

• Resolves moderate to complex claim errors and ensures timely, accurate submission to payers to maximize reimbursement.
• Works insurance denials efficiently and thoroughly, submitting corrections and appeals within required timeframes.
• Analyzes variances between expected and actual reimbursement using advanced knowledge of payer contracts and reimbursement methodologies.
• Communicates directly with insurance payers to follow up on outstanding claims, resolve payment discrepancies and secure timely reimbursement.
• Identifies trends in claim edits and denials, collaborating with leadership to address root causes and reduce accounts receivable.
• Maintains strong knowledge of federal, state, and payer-specific regulations to identify billing compliance issues and payer discrepancies.
• Supports departmental goals through accurate documentation, proactive problem solving and completion of additional assigned duties.

Skills

Insurance billing

AR management

Job description

US:OR:Salem | Patient Billing Services | Full Time

Description

Location:Salem Hospital, 890 Oak Street SE, Salem, Oregon 97301
Department:Hospital Billing
Position Type:Full time, 40 hours/week, Non-Exempt
Schedule:Flexible scheduling hours between 7:00 am - 7:00 pm, Monday - Friday
Your role with us

An insurance accounts receivable (AR) Specialist at Salem Health manages moderate to complex insurance claims and denials, ensuring accurate, timely submission and follow-up to maximize reimbursement. The role requires advanced knowledge of payer contracts, regulations, and reimbursement methodologies to analyze payment variances, resolve discrepancies, and reduce accounts receivable. Working closely with payers and internal leadership, the specialist identifies trends, addresses root causes, and supports billing compliance and financial performance.

What you'll do

• Resolves moderate to complex claim errors and ensures timely, accurate submission to payers to maximize reimbursement.
• Works insurance denials efficiently and thoroughly, submitting corrections and appeals within required timeframes.
• Analyzes variances between expected and actual reimbursement using advanced knowledge of payer contracts and reimbursement methodologies..
• Communicates directly with insurance payers to follow up on outstanding claims, resolve payment discrepancies and secure timely reimbursement.
• Identifies trends in claim edits and denials, collaborating with leadership to address root causes and reduce accounts receivable.
• Maintains strong knowledge of federal, state, and payer-specific regulations to identify billing compliance issues and payer discrepancies.
• Supports departmental goals through accurate documentation, proactive problem solving and completion of additional assigned duties.

Required qualifications

• 3 years relevant experience in medical or professional billing

Additional information

• EPIC Resolute experience preferred.

Salem Health's comprehensive benefits package prioritizes your mental and physical health, financial stability, family obligations, and professional growth.

Why Salem Health?

Salem Health is a Top Workplace in Oregon, known for fostering a supportive culture where your contributions truly matter. As an award-winning, independent health care system, we serve our region through Salem Hospital, multiple community clinics and West Valley Hospital, ensuring broad access to high-quality care.

We believe in empowering our teams. Through Lean principles, staff help drive innovation and solve real problems. We also invest in your growth with professional development, tuition assistance, and clear career pathways. At Salem Health, you’ll find more than a job, you’ll find purpose, connection, and room to thrive.

Salem Health Hospitals and Clinics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, genetic information, or any other status or condition protected by law.

Salem Health Hospitals and Clinics is committed to providing access, equal opportunity, and reasonable accommodation for applicants. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [e-mail].