Insurance AR Specialist

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🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

💰 Accounts Receivable

🚫👨‍🎓 No degree required

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Advanced Orthopaedics & Sports Medicine (Houston)

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1983

🏥 Healthcare

⚽ Sports

🧘 Wellness

Healthcare • Sports • Wellness

Advanced Orthopaedics & Sports Medicine (Houston) is a multi-location medical practice in the Greater Houston area specializing in orthopedic surgery, sports medicine, pain management, rheumatology, occupational medicine, and physical and hand therapy. Since 1983 the practice has offered joint replacement and arthroscopy, fracture and bone correction treatment, spinal and joint injections, rehabilitation services, telemedicine, and coordinated care delivered by a large team of board-certified and fellowship-trained specialists across four clinics. The organization also engages in community outreach, patient education, and scholarships.

📋 Description

• Review and submit clean claims electronically or on paper to insurance companies • Contact carriers by phone or website regarding outstanding insurance balances and claim status • Process insurance correspondence and collection actions • Contact patients, correct claims, and resubmit them to other carriers • Obtain documentation needed to expedite insurance payments • Answer questions from patients, clerical staff, and insurance companies • Identify and resolve patient billing complaints • Prepare appeal letters for denied claims • Document collection activities according to established guidelines • Identify underpayments by comparing payments with contracted fee schedules • Process insurance refund requests • Report payer issues or delays to the supervisor • Participate in educational activities • Maintain confidentiality and comply with HIPAA guidelines and regulations • Manage workload, prioritize assignments, and recommend solutions • Reconcile accounts receivable accurately and promptly • Review claims stopped in the claim scrubber • Work claims rejected by the clearinghouse

🎯 Requirements

• High School Diploma or GED • Minimum one year of experience in a medical billing/collections field • Ability to read and write • Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals • Ability to interpret explanation of benefits remittances to identify claim denial reasons and required resolutions • Ability to type 45 WPM • Basic proficiency in Microsoft Outlook/Office • Experience using or ability to learn and comprehend computer programs • Ability to perform each essential duty satisfactorily • Ability to manage workload and prioritize accordingly • Ability to maintain strict confidentiality and adhere to HIPAA guidelines/regulations • Ability to solve problems and recommend solutions