Insurance AR Specialist — Flexible Schedule & Denials Expert

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

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.