Medical AR Specialist I: Claims & Denials Champion

Hunt Regional Healthcare; Greenville (TX); On-site; USD 25,000 - 36,000; Full time

Job summary

Hunt Memorial Hospital District is seeking a Billing/Collections professional to manage insurance claims follow-up, eligibility checks, and appeals. The role requires attention to payer guidelines, accurate documentation, and collaboration with care teams to resolve outstanding balances.

Responsibilities include reporting to the PFS Leader, maintaining compliant practices, and meeting deadlines for follow-up, remittance posting, and patient accounting tasks in a hospital setting.

Qualifications

• Knowledge of insurance procedures, payer guidelines, and Medicare/Medicaid rules.
• Experience with ICD-10 and CPT coding systems.
• Ability to follow up on denials and process appeals efficiently.

Responsibilities

• Follow up on insurance claims and check eligibility.
• Handle denials and appeals with documentation.
• Track multiple accounts and deadlines with accurate notes.
• Identify and correct errors in accounts.
• Document all calls timely and accurately.
• Work with payer guidelines and HIPAA compliance.
• Communicate effectively with patients, providers, and payers.
• Post-reconciliations and adjust payer remits as needed.

Skills

Insurance knowledge

ICD-10 & CPT coding

Denials & appeals

Excel

Communication

Independent work

Attention to detail

Education

High School diploma or equivalent

Some college

Tools

Healthport

Microsoft Excel

Job description

Hunt Memorial Hospital District is seeking a Billing/Collections professional to manage insurance claims follow-up, eligibility checks, and appeals. The role requires attention to payer guidelines, accurate documentation, and collaboration with care teams to resolve outstanding balances.

Responsibilities include reporting to the PFS Leader, maintaining compliant practices, and meeting deadlines for follow-up, remittance posting, and patient accounting tasks in a hospital setting.