Job Title : Medical Billing AR Specialist
Department : Revenue Cycle Management (RCM)
Reports To : Billing Manager / AR Team Lead
Employment Type : Full-Time / On-site
Job Summary :
The Medical Billing AR Specialist is responsible for managing and resolving outstanding Accounts Receivable (A / R) claims, ensuring accurate and timely reimbursement from insurance companies and patients. The ideal candidate will have a strong understanding of medical billing procedures, payer policies, denial management, and claim follow-up processes.
Key Responsibilities :
- Review and follow up on unpaid or denied insurance claims to ensure prompt payment.
- Identify and resolve billing errors, underpayments, and denials.
- Submit corrected claims, appeals, and reconsiderations as needed.
- Communicate effectively with insurance companies, patients, and internal departments to resolve account discrepancies.
- Post payments, adjustments, and write-offs accurately in the billing system.
- Maintain detailed documentation of all collection activities and claim statuses.
- Review aging reports regularly and prioritize high-value or aging claims.
- Work with credentialing and billing teams to address payer setup or claim rejection issues.
- Stay updated with payer rules, fee schedules, and compliance guidelines (HIPAA, CMS, etc.).
- Meet or exceed daily and monthly productivity and quality targets.
Qualifications :
Education : High school diploma or equivalent (Bachelor's degree preferred).Experience :Minimum 2 years of experience in medical billing and AR follow-up (US Healthcare experience preferred).Strong knowledge of EOBs, denials, CPT / ICD codes, and payer portals.Experience working with EMR / EHR or billing software (e.g., Athenahealth, eClinicalWorks, AdvancedMD, Kareo, etc.).Skills :Excellent communication (written and verbal).Strong analytical and problem-solving skills.Attention to detail and accuracy.Ability to multitask and meet deadlines.Proficiency in MS Office (Excel, Word, Outlook).Performance Metrics :
A / R days outstandingDenial resolution rateCollection percentageProductivity (claims worked per day)Accuracy ratePreferred Attributes :
Certification in medical billing and coding (CPC, CPB, or equivalent) is a plus.Experience in Primary Care, Internal Medicine, or Specialty Billing preferred.Self-motivated, goal-oriented, and team player.Compensation & Benefits :
Competitive salary based on experience.Performance-based incentives.Health insurance and paid time off (as applicable).Opportunities for growth and professional development.Job Types : Full-time, Permanent
Benefits :
Food providedHealth insurancePaid time offProvident FundWork Location : In person