Remote Medical Insurance AR Specialist: Claims & Appeals

Panorama LASIK

Michigan

Hybrid

USD 28,000 - 33,000

Full time

9 hours ago
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Benefits offered by this job

PTO Accruals Start at 3 Weeks
Comprehensive Medical and Dental Ins.
Company-Paid Routine Eye Care
Short-Term and Long-Term Disability In
Paid Holiday Program
401K with Company Match

Job summary

Panorama Eyecare is seeking a Medical Insurance AR Follow-Up Specialist for a fully remote position across eligible U.S. states.

You will manage unpaid, denied, or underpaid claims, using payer portals and communications to secure timely reimbursement and reduce future denials. The role requires 2+ years in medical billing or accounts receivable follow-up, a high school diploma or equivalent (associates/cert preferred), and proficiency with MS Office and NextGen EHR.

Qualifications

  • Minimum of 2 years of experience in medical billing, coding, or accounts receivable follow-up.
  • High school diploma or equivalent; Associate's degree or certification in medical billing and coding preferred.
  • Proficiency in MS Office (Word, Excel) and experience with the EHR system, NextGen.
  • Strong knowledge of Medicare, Medicaid, and commercial insurance policies.

Responsibilities

  • Review unpaid, denied, or underpaid medical claims with insurance carriers.
  • Utilize payer portals, phone calls, and email communications to resolve claims.
  • Research and resolve claim discrepancies, including coding errors and eligibility issues.
  • Identify root causes of claim denials and initiate appeals or corrections.
  • Maintain documentation of follow-up actions in the system.
  • Collaborate with billing and coding teams to prevent future issues.
  • Communicate with patients regarding claim status and balances.
  • Prepare and submit timely appeals for denied claims with documentation.
  • Ensure compliance with healthcare regulations and payer guidelines.

Skills

Insurance Claims Expertise
Analytical Thinking
Communication Excellence
Attention to Detail
Technical Proficiency

Education

High school diploma
Associate's degree or certification in medical billing and coding

Tools

MS Office (Word, Excel)
NextGen EHR system
Insurance payer systems
Medical billing software

Job description

Panorama Eyecare is seeking a Medical Insurance AR Follow-Up Specialist for a fully remote position across eligible U.S. states.

You will manage unpaid, denied, or underpaid claims, using payer portals and communications to secure timely reimbursement and reduce future denials. The role requires 2+ years in medical billing or accounts receivable follow-up, a high school diploma or equivalent (associates/cert preferred), and proficiency with MS Office and NextGen EHR.

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