The Accounts Receivable (AR) Specialist supports the financial operations of our high-volume cardiology group by managing insurance and patient receivables. This role focuses on timely claim follow-up, payment posting, and collections, ensuring the practice maintains a healthy cash flow. The ideal candidate will have strong knowledge of medical billing processes and hands-on experience using Intergy Practice Management and EPIC EHR systems.

QUALIFICATIONS:

· High school diploma or equivalent (required); Associate degree in Accounting, Healthcare Administration, or related field (preferred)
· Minimum 2 years of AR or medical billing experience in a specialty or cardiology practice
· Proficiency with Intergy Practice Management software (Greenway)
· Experience using EPIC EHR for clinical and billing review
· Solid understanding of insurance billing, denial management, and reimbursement procedures
· Knowledge of Medicare, Medicaid, and commercial payer guidelines
· Familiarity with medical terminology, especially in cardiology
· Excellent organizational, communication, and problem-solving skills
· Ability to manage multiple tasks and prioritize in a fast-paced environment
· Demonstrate ability to maintain high level of productivity, time management, organization, attention to detail, documentation skills and ability to resolve conflict in the work place.
· Able to make decisions using discretion and independent judgment.
· Able to prioritize and manage time to meet deadlines and time constraints.
· Pass a criminal background check
Job Type: Full-time
Pay: From $22.00 per hour
Expected hours: 40 per week

Benefits:

• 401(k)
• Health insurance
• Paid sick time
• Paid time off

Work Location: In perso

· Monitor, review, and follow up on outstanding insurance and patient account balances
· Process and post insurance and patient payments accurately within Intergy Practice Management system
· Utilize EPIC EHR to review patient charts and ensure proper documentation supports billing
· Resolve denied or underpaid claims by conducting appeals, adjustments, and resubmissions
· Prepare and submit written or electronic appeals with appropriate documentation and follow-up
· Maintain thorough and up-to-date records of all appeals and communications with payers
· Communicate with insurance carriers for claim status, eligibility, and payment discrepancies
· Communicate with insurance carriers to resolve underpaid, denied, or delayed claims
· Generate and analyze AR aging reports to identify priority accounts and escalate issues when necessary
· Analyze denial codes and EOBs to determine root causes and implement corrective action
· Collaborate with billing and coding teams to ensure accurate CPT/ICD10 coding and clean claim submission
· Respond to patient inquiries regarding billing, balances, and payment options professionally and accurately
· Reconcile payments with Explanation of Benefits (EOBs) and electronic remittance advice (ERA)
· Process credit card payments from patients who call the office, and provide receipts and confirmation as needed Maintain detailed and accurate documentation of collection activities in patient accounts
· Stay informed about payer policy updates, coding changes, and cardiology-specific billing requirements
· Follow HIPAA guidelines to maintain patient confidentiality and privacy