Medical AR Specialist: Claims, Billing & Denials Expert

EyeHealth Northwest; Portland (OR); On-site; USD 28,000 - 41,000; Full time

Job summary

EyeHealth Northwest is seeking an Accounts Receivable Specialist to prepare and process medical and vision insurance claims. You will review invoices, post payments, and investigate denials while maintaining HIPAA compliance.

The role collaborates with clinic staff to ensure accurate patient data and timely billing. Ideal candidates have a high school diploma and at least two years in AR or medical billing, with proficiency in NextGen and CPT/ICD-10 coding.

Qualifications

• High school diploma or equivalent required.
• Minimum two years of accounts receivable or medical billing experience preferred.
• Knowledge of CPT/ICD-10 coding and HIPAA compliance preferred.
• Strong attention to detail and data entry accuracy.
• Ability to communicate clearly with patients and clinic staff.

Responsibilities

• Process charges billed to medical and vision insurers.
• Review and process paper and electronic claims daily.
• Prepare and issue bills, invoices, and account statements.
• Audit claims for accurate CPT/ICD-10 coding and payer requirements.
• Investigate and resolve claim denials; resubmit as needed.
• Post payments to patient accounts and monitor overdue balances.
• Maintain confidentiality of patient information and comply with HIPAA.

Education

High school diploma or equivalent

Tools

NextGen

Medical billing software

Job description

EyeHealth Northwest is seeking an Accounts Receivable Specialist to prepare and process medical and vision insurance claims. You will review invoices, post payments, and investigate denials while maintaining HIPAA compliance.

The role collaborates with clinic staff to ensure accurate patient data and timely billing. Ideal candidates have a high school diploma and at least two years in AR or medical billing, with proficiency in NextGen and CPT/ICD-10 coding.