A/R Follow-Up Specialist
3 days ago
Join Our Team as an A/R Follow-Up Specialist
The A/R Follow-Up Specialist is responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable. The role manages claim status checks, denials, appeals, and payer communication to ensure accurate reimbursement and timely resolution.
Key Responsibilities:
- Access and navigate payer portals to verify eligibility, authorization, and claim status.
- Update patient demographics and insurance details in the system.
- Research and resolve unpaid or denied claims by addressing missing information or authorization issues.
- Review EOBs, process corrections, and resolve claim discrepancies.
- Contact insurance payers via phone or correspondence to secure claim payments.
- Respond to payer requests for additional documentation.
- Verify underpayments using contracts and claims data.
- Draft appeal letters for denials and manage denial resolutions.
- Prepare claims for clinical audits (authorization, coding, level of care, length of stay).
- Maintain confidentiality of patient information per HIPAA and company policy.
- Collaborate with billing teams, coders, and payment posters for accurate claim processing.
- Document all claim activity, follow-ups, and resolutions in the billing system.
- Adhere to payer policies, guidelines, and submission requirements.
- Perform other duties as assigned by the AR Manager or Supervisor.
Qualifications:
- Proficient in Microsoft Word and Excel.
- Knowledgeable in ICD-10, CPT, HCPCS, and NCCI.
- Experienced with billing claim forms (UB04/1500).
- Hands-on experience with health information systems (EMR, claim scrubbers, patient accounting systems).
- Strong understanding of third-party billing guidelines and payor contracts.
- Excellent organizational and time management skills with ability to prioritize tasks.
- Detail-oriented with high accuracy in claim documentation and processing.
- Strong written and verbal communication skills in English.
Why Connext?
- Competitive Compensation
- Perfect Attendance Bonus
- Company-Provided Equipment
- 25% Night Differential Pay
- Life and HMO Insurance Coverage
- 20 Leave Credits
- Good Company Culture
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