A/R Follow-Up Specialist
3 days ago
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.
Benefits
• Annual Merit Increase
• Health Insurance
• Life Insurance
Supplemental Pay
• 13th Month Sala
• Mid-Year Bonus
Responsibilities
• Verify patient eligibility, authorizations, and claim status through payer portals; update demographics and insurance details.
• Research and resolve denied or unpaid claims, including EOB review, underpayment verification, and appeals preparation
• Communicate with insurance payers to secure payments and respond to documentation requests
• Prepare claims for audits and ensure accurate processing through collaboration with billing, coding, and payment teams
• Maintain HIPAA compliance, document all activities, and follow payer guidelines and submission requirements
Qualifications
• Experience using Microsoft Word and Excel
• Familiar with ICD-10, CPT, HCPCS, and NCCI
• Familiar with billing claim forms (UB04/1500).
• Hands-on experience with health information systems (EMR, Claim Scrubbers, Patient Accounting Systems, etc.).
• Knowledge in third-party billing guidelines and payor contracts.
• Demonstrates strong organizational and time management skills with the ability to prioritize tasks effectively.
• Clear and coherent both written and verbal communication skills in English
Screening Criteria
• High school diploma or equivalent required.
• Minimum of two (2) years of experience in medical collections or billing.
• Experience using EPIC and/or Cerner healthcare software is a plus.
• Must have a stable employment history.
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