On-Site AR Follow Up Specialist at EngageMED Inc

North Little Rock, Arkansas, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Apr, 26

Salary

0.0

Posted On

02 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Accounts Receivable, Denial Management, Claim Follow-Up, Appeals Process, Payment Posting, Reconciliation, Payer Research, Reporting, Patient Accounts, Medical Terminology, CPT Coding, ICD-10 Coding, HCPCS Coding, Electronic Medical Record, Billing Software

Industry

Hospitals and Health Care

Description

Description Position: AR Follow Up Specialist Department: Revenue Cycle-9002 FLSA Status: Full Time; Exempt Reports To: Billing Office Manager JOB DESCRIPTION – EngageMED is looking for a dedicated and meticulous AR Specialist to join our dynamic revenue cycle team. The Accounts Receivable Specialist is a critical role responsible for the timely follow-up, collection, and resolution of outstanding medical claims from government and commercial payers. You will be instrumental in analyzing denial trends, preparing effective appeals, and maximizing our cash flow. If you have a deep understanding of the full medical billing lifecycle and thrive on solving complex claim issues, we want to hear from you. Key Responsibilities Claim Follow-Up: Proactively manage and work aging reports, contacting insurance companies (e.g., Medicare, Medicaid, and commercial plans) to resolve unpaid or denied claims. Denial Management: Identify, analyze, and resolve root causes of denials (coding, authorization, medical necessity, etc.). Appeals Process: Prepare and submit clear, compelling appeals with necessary clinical documentation to secure payment. Payment Posting & Reconciliation: Review and post electronic and manual Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs), ensuring accuracy. Payer Research: Stay current on payer policy changes and reimbursement guidelines to minimize future claim errors. Reporting: Track and report on key AR metrics, identifying trends and recommending process improvements. Patient Accounts: Handle complex patient inquiries related to billing and outstanding balances when escalated from customer service or the clinic. Qualifications Required Skills & Experience 3+ years of dedicated experience in medical billing, specifically focused on Accounts Receivable and denial management. In-depth knowledge of healthcare claim forms (CMS-1500) and electronic submission processes. Proficiency in interpreting EOBs and ERAs. Solid understanding of medical terminology, CPT, ICD-10, and HCPCS coding principles. Experience utilizing an electronic medical record (EMR) system and medical billing software. (E-Clinical Works, Valant, Wound Expert) Exceptional organizational skills and keen attention to detail. We offer a competitive compensation package, comprehensive benefits, and a supportive team culture that values expertise and growth. Medical, Dental, and Vision Insurance 401(k) retirement plan with company match Generous Paid Time Off (PTO) and paid holidays Opportunities for professional development and training

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Responsibilities

The AR Follow Up Specialist is responsible for the timely follow-up, collection, and resolution of outstanding medical claims. This includes managing aging reports, analyzing denial trends, and preparing effective appeals.