Remote AR Specialist II — Denials & Payments Expert

ScionHealth; Buskirk Addition (WV); Remote; USD 52,000 - 64,000; Full time

Job summary

Logan Regional Medical Center in southern West Virginia seeks an AR Specialist II to independently manage insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, and financial documentation. Prior billing experience is required with strong proficiency in resolving payer issues.

The role emphasizes accurate documentation, collaboration with accounting, and use of EMR systems in a HIPAA-compliant environment.

Qualifications

• Three years of physician billing experience required.
• Experience with Rural Health Clinic (RHC) or Provider-Based Billing preferred.
• Advanced knowledge of insurance denial management and resolution processes.
• Proficient in EMR systems and HIPAA compliance requirements.

Responsibilities

• Analyze insurance denials and rejections; initiate and process appeals as appropriate.
• Troubleshoot account issues, including demographic discrepancies and authorization concerns.
• Process and reconcile refund requests and banking deposits.
• Review and interpret explanation of benefits (EOBs) for accurate payment posting.
• Collaborate with accounting and management to resolve complex account issues.
• Maintain accurate documentation and perform claim resubmissions as needed.

Skills

Denial management

EMR systems

HIPAA compliance

Analytical thinking

Communication

Collaboration

Education

High School Diploma

Job description

Logan Regional Medical Center in southern West Virginia seeks an AR Specialist II to independently manage insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, and financial documentation. Prior billing experience is required with strong proficiency in resolving payer issues.

The role emphasizes accurate documentation, collaboration with accounting, and use of EMR systems in a HIPAA-compliant environment.