INSURANCE AR SPECIALIST - REMOTE

Joinorthoalliance; Cincinnati (OH); Remote; USD 35,000 - 55,000; Full time

Job summary

Join a forward-thinking company as an Insurance AR Specialist in a fully remote role. This entry-level position offers the opportunity to manage outstanding accounts and collaborate with various stakeholders to ensure timely resolution of claims. Your expertise in customer service and claims management will be crucial as you navigate the complexities of insurance processes. With a supportive team environment, you'll thrive while contributing to a culture of respect and integrity. If you're ready to make a meaningful impact in the healthcare sector, this is the perfect opportunity for you.

Qualifications

• 1-3 years of experience in claims escalation in a healthcare setting.
• Strong customer service and communication skills are essential.

Responsibilities

• Manage daily collections and outstanding accounts with insurance companies.
• Collaborate with team members to resolve conflicts on accounts.

Skills

Customer Service

Claims Management

Communication Skills

Problem Solving

Education

High School Diploma or Equivalent

Tools

Practice Management System

Job description

Join to apply for the INSURANCE AR SPECIALIST - REMOTE role at OrthoAlliance

Posted: March 26, 2025

• Full-Time
• Remote
• Travel Required: No

Position Summary:
Perform the daily collections and management of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Provide effective customer service for all internal and external customers by using excellent, in-depth knowledge as well as communicating effectively with team members and strong customer service.

Position Responsibilities/Standards:

• Attend department, clinic or company meetings as required.
• Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns.
• Consistently work in a positive and cooperative manner with fellow staff members.
• Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
• Attend required annual in-service programs.
• Demonstrate knowledge and understanding of all company policies and procedures. Adheres to established facility safety requirements and procedures to ensure a safe working environment. Identifies potentially unsafe situations and notifies supervisor.

Specific Duties:

• Performs daily on collecting and managing of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments.
• Collaborates with manager and director to report denial trends to ensure proper claim resolution.
• Collaborates with patients, vendors, and internal departments to resolve conflicts on accounts and resolve any outstanding claims.
• Ensures accuracy in claims escalation (denials management) while adhering to all regulations.
• Participates with the team to implement and adhere to policies, procedures, and systems to ensure timely resolution of claims in current Practice Management system.
• Ensures adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals.
• Collaborates with manager to create new processes and procedures as needed to improve overall claims escalation process.
• Performs a variety of administrative duties including, but not limited to: answering phones, faxing and filing.
• Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training.
• The ability to maintain friendly, cordial relations with fellow coworkers.
• The ability to build and maintain confidence and credibility with fellow coworkers.
• The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers.
• The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands.
• Ability to comply with Company standards of operations.
• Ability to adhere to the Core Values of the Company, the needs of our patients come first, integrity, trust, personal responsibility, respect and teamwork.
• The ability to promote and maintain a respectful culture of employee, employer and business confidentiality.
• Perform other duties as assigned by management.

Education/Experience Required:

• High School diploma or equivalent.
• Claims Escalation (AR Denials) in a healthcare setting 1-3 years’ experience.

Work Environment/Physical Requirements:
Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift less than 10 lbs.

Seniority level: Entry level

Employment type: Contract

Job function: Other

Industries: Hospitals and Health Care