A/R Follow-Up Specialist w/ EPIC software
7 hours ago
Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.
We are currently looking for an A/R Follow-Up Specialist who will be working with Connext's Client in the United States of America.
What's in it for you?
- Competitive compensation
- Perfect Attendance Bonus
- Life insurance
- HMO Insurance
- Great company culture
- 25% Night Differential
- Annual Increase
- Mid- Year Bonus
What is the job?
The A/R Follow-Up Specialist is responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable.
Responsibilities:
• Verify eligibility, authorizations, and claim status via payer portals; update patient demographics/insurance
• Research and resolve unpaid/denied claims (missing info, auth, ICN/DCN); review EOBs and process corrections
• Contact payers (phone/written) to secure payment; respond to documentation requests; document all actions in the billing system
• Validate underpayments against contracts/claims; draft technical appeals and manage denials
• Prepare claims for clinical audits (authorization, coding, level of care, length of stay); collaborate with billing, coders, and posters
• Safeguard PHI per HIPAA; follow payer guidelines and AR leadership direction; perform related duties as assigned
Qualifications:
• Minimum of two (2) years of experience in medical collections or billing.
• Minimum of two (2) years of experience using EPIC healthcare software.
• Uses Microsoft Word/Excel and health information systems (EMR, claim scrubbers, patient accounting)
• Applies coding standards: ICD-10, CPT, HCPCS, and NCCI
• Processes claims using UB-04/CMS-1500; follows payer contracts and third-party billing guidelines
• Demonstrates strong organization/time management; maintains high accuracy in documentation and processing
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