Remote AR Specialist: Billing & Denials Expert

ThedaCare; United States; On-site; USD 42,000 - 64,000; Full time

Job summary

ThedaCare is seeking an Accounts Receivable Specialist to manage submitted claims, follow up with payers, and resolve denials while ensuring accurate billing and timely reimbursement.

The role requires experience in Revenue Cycle/Medical billing, Excel proficiency, and strong communication skills; work is available in a remote, hybrid, or in-office setting at ThedaCare Corporate Office in Neenah, WI.

Qualifications

• High School diploma or GED; Revenue Cycle/Medical billing experience preferred.
• Proficiency in basic computer applications, including Excel.
• Strong verbal and written communication skills.

Responsibilities

• Reviews, analyzes, and processes billed claims for accuracy upon submission.
• Submits claims timely in accordance with payer contracts and regulations.
• Follows up with payers to resolve unpaid, underpaid, or denied claims.
• Identifies denials and underpayments and takes corrective action to secure reimbursement.
• Prepares and submits appeals when needed with proper documentation.
• Re-bills accounts when demographic or insurance information is updated.
• Verifies insurance and patient demographics at registration and follow-up.
• Maintains documentation of all account activity and payer communications.
• Learns payer requirements and applies them to account resolution.
• Identifies trends in AR issues and communicates recommendations to management.
• Meets productivity and quality standards.

Skills

Verbal communication

Written communication

Excel proficiency

Attention to detail

Education

High School diploma or GED

Tools

Microsoft Excel

Job description

ThedaCare is seeking an Accounts Receivable Specialist to manage submitted claims, follow up with payers, and resolve denials while ensuring accurate billing and timely reimbursement.

The role requires experience in Revenue Cycle/Medical billing, Excel proficiency, and strong communication skills; work is available in a remote, hybrid, or in-office setting at ThedaCare Corporate Office in Neenah, WI.