Medical AR Specialist: Claims, Denials & Payments

Paycom - ATS; Milwaukie (OR); On-site; USD 45,000 - 65,000; Full time

Job summary

EHN in Milwaukie, OR is seeking an Accounts Receivable Specialist to prepare and process claims for primary, secondary, and tertiary insurers, and to apply payments to patient accounts. The role requires accuracy, HIPAA compliance, and professional communication with physicians, staff, and patients.

You will post NextGen batches daily, review denials, research discrepancies, and coordinate with clinic staff to ensure complete and correct patient data and claim information.

Qualifications

• High school diploma or equivalent.
• Minimum of two years of relevant experience.
• Knowledge of medical billing procedures including CPT/ICD10 with HIPAA familiarity.

Responsibilities

• Process charges billed to medical/vision insurers and review paper/electronic claims daily.
• Calculate, prepare, and issue bills and account statements according to procedures.
• Audit insurance claims for accurate charges, codes, and contractual requirements; resolve discrepancies.
• Investigate and resolve claim denials; resubmit per payer guidelines.
• Receive payments and post amounts to patient accounts.
• Post NextGen batches daily and follow up on AR issues promptly.
• Ensure patient data and insurance information are up to date and confidential.

Skills

Attention to detail

Customer service

Communication

HIPAA compliance

Office software

Education

High school diploma or equivalent

Tools

Windows-based software

NextGen software

Job description

EHN in Milwaukie, OR is seeking an Accounts Receivable Specialist to prepare and process claims for primary, secondary, and tertiary insurers, and to apply payments to patient accounts. The role requires accuracy, HIPAA compliance, and professional communication with physicians, staff, and patients.

You will post NextGen batches daily, review denials, research discrepancies, and coordinate with clinic staff to ensure complete and correct patient data and claim information.