The Accounts Receivable Billing Specialist is responsible for ensuring accurate and timely billing, payment posting, and follow-up on outstanding claims to optimize revenue collection. This role works closely with payers, patients, and internal teams to resolve billing issues, reduce denials, and maintain compliance with payer and regulatory requirements.
The AR Billing Specialist monitors aging accounts, investigates underpayments or non-payments, submits appeals and corrected claims as needed, and ensures all documentation supports reimbursement. Attention to detail, strong analytical skills, and effective communication are essential to success in this role.
Essential Duties and Responsibilities:
Contact insurance carriers through website, email or telephone to resolve outstanding accounts
Analyze and resolve moderately complex insurance denials
Appeal and/or resubmit unresolved invoices to insurance carriers
Research and respond to insurance correspondence
Update registration information, post denial codes and adjustments in practice management systems
Research and obtain required documents to resolve misdirected payment issues
May provide internal coverage for Customer Service calls
Others may be assigned.
Required Skills and Abilities:
Excellent problem-solving skills
Detail oriented and organized
Able to multi-task and work quickly, with constantly changing circumstances and priorities
Ability to establish and maintain effective working relationships with patients, management, employees, and the public.
Demonstrated ability to read and interpret EOB’s (Explanation of Benefits) and insurance contractual adjustments
Strong computer skills
Able to prioritize assignments and work under minimal supervision
Ability to handle a high volume of work with speed and accuracy
Proven ability in collections and negotiation