Medical Billing Specialist I: Claims & AR Expert

AccessHealth; Richmond (TX); On-site; USD 42,000 - 66,000; Full time

Job summary

AccessHealth in Richmond, TX is seeking a Claims Auditor to verify medical, dental, behavioral, and hospital insurance claims, ensuring accuracy and timely electronic submission in our practice management system. You will handle follow-up on outstanding claims and maintain precise accounts receivable records for the organization.

Responsibilities include applying payments and adjustments, monitoring aging reports, and staying current with payer regulations to support efficient billing and

Qualifications

• High school graduate or equivalent.
• Experience in medical office billing and claims submission.
• Ability to read and interpret EOBs and adjust patient accounts.

Responsibilities

• Audit medical, dental, behavioral, and hospital insurance claims for accuracy and timely submission.
• Apply insurance payments and adjustments to maintain AR records.
• Monitor aging reports and identify accounts needing attention.
• Stay current with payer rules and Medicaid/Medicare requirements.
• Review accounts, request adjustments or refunds as appropriate.
• Resubmit denied claims and inform supervisor of AR issues.

Skills

Communication

HIPAA compliance

Multitasking

Customer service

Education

High school diploma

Tools

Practice management software

Microsoft Office

10-key calculator

Job description

AccessHealth in Richmond, TX is seeking a Claims Auditor to verify medical, dental, behavioral, and hospital insurance claims, ensuring accuracy and timely electronic submission in our practice management system. You will handle follow-up on outstanding claims and maintain precise accounts receivable records for the organization.

Responsibilities include applying payments and adjustments, monitoring aging reports, and staying current with payer regulations to support efficient billing and