(Medical Billing) AR Specialist

ARBOR DIAGNOSTICS INC; Dallas (TX); On-site; USD 55,000 - 65,000; Full time

Job summary

ARBOR DIAGNOSTICS INC seeks an A/R Claims Specialist for Copper Creek Health in Dallas, TX 75229. This full-time role focuses on expediting proper adjudication of insurance claims and reducing denials, including resubmitting unpaid claims, communicating with carriers and patients, and updating insurance and demographic data.

You will review trends in denials, adhere to payer guidelines, and contribute to revenue cycle improvements while delivering strong customer service.

Qualifications

• Minimum of 3 years A/R follow up experience.
• Proficient in Microsoft Office.
• Excellent navigation and keyboarding skills (45+ wpm).
• Strong organizational and interpersonal abilities; detail oriented.
• Ability to manage multiple priorities and deliver quality work.
• Complies with Data Protection policies and procedures.
• Valid driver’s license and car insurance; travel as needed.

Responsibilities

• Manage accurate and timely insurance claims follow-up and AR resolution for assigned payers.
• Accountable for complex payers, aged claims, and special AR projects.
• Adhere to government regulations, payer contracts, and insurance guidelines when performing follow-up, resolving open accounts, and appealing claims.
• Identify inefficiencies to improve revenue flow, decrease denials, and minimize write-offs.
• Manages insurance and patient correspondence; contacts carriers, patients, and facilities to maximize payment.
• Reports trending claims denials with documentation to Management.
• Answers inbound patient calls and collects and posts payments with customer service.

Skills

Attention to detail

Multitasking

Communication skills

Keyboarding 45 wpm

Interpersonal skills

Time management

Education

High School

Tools

Microsoft Office

Job description

Job DetailsJob Location: Copper Creek Health - Dallas, TX 75229Education Level: High SchoolJob Shift: DayThe A/R Claims Specialist is a full‐time hourly position responsible for expediting the proper adjudication of insurance claims and any candidate must have a zeal for resolving A/R denials. Primary responsibilities include but are not limited to: researching and resubmitting unpaid medical claims, working with insurance carriers and patients to obtain payment, updating patient insurance and demographic information, submitting appeals and reconsiderations to payers, and contacting client offices to procure pertinent patient information. This role requires undivided attention to detail, a commitment to accuracy and thoroughness, and the ability to work large claim volumes by strategizing and identifying trends.

Role and Responsibilities

• Manage accurate and timely insurance claims follow-up and accounts receivable resolution for assigned payers
• Accountable for complex payers, aged claims, and special accounts receivable projects
• Adhere to government regulations, payer contracts, and insurance guidelines when performing insurance follow-up, resolving open accounts, and appealing claims
• Act as key contributor to the Revenue Cycle by identifying and reporting inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs
• Manages insurance and patient correspondence
• Contacts insurance carriers, patients, and/or other facilities as needed to ensure maximum payment is realized
• Reports trending claims denials with supporting documentation to Management Team
• Answers inbound patient calls and collects and post payments received while providing impeccable customer service support
• Participates in trainings / meetings with payers and internal departments to address trends in denials or unprocessed claims
• Additional duties as assigned by your supervisor

Qualifications

• Minimum of 3 years A/R follow up experience
• Proficient in using Microsoft Office software
• Excellent navigation and keyboarding skills (45+ wpm)
• Exceptional organizational, communication and interpersonal skills with ability to Independently perform tasks of a routine nature
• Ability to manage multiple priorities
• Outstanding verbal and written communication skills
• Excellent attention to detail and accuracy
• Ability to consistently deliver quality work during allotted timeframes
• Understands and ensures compliance with our Data Protection policies and procedures
• Valid driver’s license/car insurance with ability to travel to business office as needed