Job Description

Job Description

Job Description

Insurance A/R Specialist

• This position is not to obtain claim status, but to effectively work A/R resulting in payment
• Must have comprehensive knowledge of insurance guidelines and regulations.
• Ability to read EOBs.
• Familiarity with government and commercial payers as well as the various products offered by each carrier.
• Ensuring insurance is reimbursing at the correct, contracted rate.
• Experience with working rejections, denials efficiently to receive payment
• Appeals - the ability and experience to write an effective appeal resulting in payment
• E-Clinical Works experience preferred. Minimum of two years’ experience required

The most crucial skillset needed for this role is to have a working knowledge of insurance policies and procedures and how to effectively work an A/R report. Anyone can call an insurance company and ask for claim status, we need a candidate who will question what insurance is telling them and work our denials and rejections effectively resulting in payment!

*Hybrid schedule post training

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