AR Specialist

Job not on LinkedIn

🔥 1 minute ago

⚜️ Louisiana – Remote

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⏰ Full Time

🟢 Junior

💰 Accounts Receivable

🚫👨‍🎓 No degree required

👻 Ghost score 12%

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Logo of Capitol Imaging Services

Capitol Imaging Services

501 - 1000 employees

🏥 Healthcare

🤖 Artificial Intelligence

👥 B2C

Healthcare • Artificial Intelligence • B2C

Capitol Imaging Services is a network of outpatient medical imaging centers providing diagnostic and interventional imaging services across multiple states (primarily Alabama, Florida, Georgia, Louisiana, Mississippi, and Texas). The company offers a wide range of modalities including MRI (open and conventional), CT, PET/CT, nuclear medicine, mammography, ultrasound, X-ray, DEXA (bone density and body composition), echocardiography, fluoroscopy, neuroimaging and related neurological testing. CIS supports both patients and referring physicians via patient and physician portals, online bill payment, medical records/release processes, and emphasizes lowering out-of-pocket expenses, fast results, and convenient locations. The organization also lists services such as Medical Imaging Research Services and AI Imaging Evaluations.

📋 Description

• Partner with external billing vendors to address claim rejections and payer requests for clarification • Provide guidance and feedback to vendor partners on claim corrections, rework, and resubmissions • Review escalated accounts requiring internal oversight or final resolution • Identify denial trends, recurring payer issues, and root causes • Provide feedback and strategic direction on appeal approaches and payment resolution tactics • Authorize final adjustments after appeal opportunities have been exhausted, ensuring documentation and compliance • Recommend process improvements to reduce future denials • Work A/R aging reports for 30, 60, and 90+ day accounts to identify unpaid or underpaid claims • Initiate payer tracers and follow-ups to secure claim adjudication and payment • Monitor high-risk and high-dollar accounts to prevent revenue leakage • Post and reconcile insurance and patient payments accurately • Transfer payments to patient balances when appropriate and process patient refunds in compliance with policy • Assist with account reconciliations and discrepancy resolution • Liaise with patients and insurance payers to resolve billing questions • Explain EOBs, patient responsibility, and out-of-pocket costs • Conduct professional and empathetic phone communication with patients and payer representatives

🎯 Requirements

• High School Diploma or equivalent required • Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, or a related field preferred • 1–3 years of experience in medical billing and collections, Accounts Receivable or Revenue Cycle Management, or healthcare payer follow-up and denial resolution • Proficiency with Practice Management Systems and Electronic Health Records (EHR/EMR) • Strong working knowledge of Microsoft Office, particularly Excel (reports, aging analysis) and SharePoint • Working knowledge of medical terminology, CPT and ICD-10 coding, and payer guidelines and reimbursement rules for Medicare, Medicaid, and Commercial Insurance plans • Strong analytical and problem-solving skills • Exceptional attention to detail and accuracy • Effective written and verbal communication skills • Ability to work collaboratively with internal teams and external vendor partners • Sound judgment related to financial adjustments and account resolution

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