Job Details

Job Title: AR Specialist (Accounts Receivable) Location: Remote Job Type: Part-Time to Full-Time The AR Specialist – Insurance Billing is responsible for managing the full cycle of insurance claim billing and reimbursement processes. This includes submitting claims, following up on unsettled claims, reconciling payments, and resolving discrepancies. The role ensures accurate and timely revenue collection from insurance payers while maintaining compliance with payer regulations and organizational policies. Responsibilities: • Submit clean and accurate claims to insurance companies (electronically and/or manually) • Monitor aging reports and follow up on unsettled or denied claims in a timely manner • Resolve claim rejections, denials, and underpayments through appeals or resubmissions • Post payments and reconcile Explanation of Benefits (EOBs)/Electronic Remittance Advice (ERAs) • Review and verify insurance eligibility and authorization as needed • Communicate with insurance companies, providers, and internal staff to clarify and resolve billing issues • Ensure compliance with HIPAA, payer-specific guidelines, and organizational billing policies Qualifications: • Insurance Knowledge: Strong understanding of medical billing codes (CPT, ICD-10, HCPCS), modifiers, and payer-specific guidelines • Attention to Detail: Ability to catch billing errors, reconcile payment discrepancies, and ensure accurate claim submissions • Persistence: Strong follow-up skills for pursuing unsettled or denied claims • Analytical Thinking: Ability to assess EOBs/ERAs and identify patterns in denials or underpayments • Communication Skills: Clear, professional communication with payers, providers, and team members • Organization: Manages high volumes of claims while keeping track of claim statuses and follow-ups • Confidentiality: Understands the importance of handling PHI and financial data securely and ethically • Proficiency in Billing Software: Experience with practice management systems (e.g., Simple Practice, Office Ally) and Excel • Knowledge of Regulations: Familiar with HIPAA, payer policies, and medical billing compliance standards • Team Player: Coordinates with billing teams, clinicians, and administrative staff to resolve complex issues Compensation: $5 hourly

• Submit clean and accurate claims to insurance companies (electronically and/or manually) • Monitor aging reports and follow up on unsettled or denied claims in a timely manner • Resolve claim rejections, denials, and underpayments through appeals or resubmissions • Post payments and reconcile Explanation of Benefits (EOBs)/Electronic Remittance Advice (ERAs) • Review and verify insurance eligibility and authorization as needed • Communicate with insurance companies, providers, and internal staff to clarify and resolve billing issues • Ensure compliance with HIPAA, payer-specific guidelines, and organizational billing policies