AR Specialist, Physician Billing

🔥 0 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Infinx

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Venture Round on 2021-11

Healthcare • Consulting • Logistics

Infinx is a company that specializes in optimizing the healthcare revenue cycle through advanced technology solutions. It offers a comprehensive platform that automates and enhances processes such as prior authorizations, eligibility verifications, medical coding, billing, and revenue acceleration. By leveraging artificial intelligence, automation, and integrations within healthcare systems, Infinx helps healthcare providers streamline patient access and maximize reimbursements. The company works closely with healthcare providers, including hospitals, physician groups, and specialty centers, to address their revenue cycle challenges effectively. Infinx's solutions aim to reduce denials, improve claim accuracy, and enhance patient satisfaction, thereby allowing providers to focus more on delivering high-quality care.

📋 Description

• Work across eligibility, demographics, billing, edit resolution, AR follow-up, and denial management • Verify insurance coverage and benefits using payer portals, EDI 270/271 transactions, and payer outreach • Determine primary, secondary, and tertiary payer order • Identify prior authorization, pre-certification, referral, Medicare Secondary Payer, workers’ compensation, motor vehicle accident, and third-party liability scenarios • Review and correct patient, guarantor, subscriber, and insurance data in EHR, PMS, or registration systems • Submit clean claims directly to Medicare DDE/FISS, state Medicaid portals, and payer-specific channels • Resolve claim edits, scrubber rejections, and pre-submission errors • Correct UB-04 and CMS-1500 claim data, including codes, modifiers, place of service, and provider information • Work aged accounts receivable and prioritize high-dollar and high-aging balances • Contact payers to determine claim status and resolve denial or pending reasons • Research and resolve denials and underpayments through rebilling, reconsiderations, appeals, corrected claims, and medical-record submissions • Prepare and submit written appeals with supporting documentation • Identify and pursue underpayments against expected contract terms • Manage payer follow-up across Medicare, Medicaid, commercial, managed care, workers’ compensation, TRICARE, and VA • Analyze rejection and denial trends and escalate data-driven recommendations • Collaborate with coding, charge capture, patient access, HIM, and client-side teams • Document account activity in source systems • Maintain productivity, quality, HIPAA, payer, CMS, and billing-regulation standards

🎯 Requirements

• High School Diploma or GED • 3-5 years of hospital and/or physician revenue cycle experience in at least two focal areas • Hands-on experience submitting claims directly to payers via Medicare DDE/FISS, state Medicaid portals, and/or payer-specific direct submission channels • Demonstrated ability to work natively in client EHR, PMS, and billing systems • Comprehensive knowledge of UB-04 and CMS-1500 claim forms, revenue codes, CPT/HCPCS, ICD-10-CM, and modifier usage • Expertise in Medicare, Medicaid, TRICARE, VA, and commercial payer processes • Working knowledge of NCCI edits, MUE edits, LCD/NCD policy logic, and bundling rules • Hands-on experience with major payer portals and EDI 270/271 eligibility transactions • Knowledge of coordination of benefits, payer determination, and Medicare Secondary Payer rules • Ability to interpret EOBs, remittance advices, contracts, and payment documentation • Solid Excel skills, including filtering, sorting, pivot tables, and basic formulas • Knowledge of HIPAA, billing compliance, CMS regulations, and fraud/abuse regulations • Ability to prioritize workload and manage multiple responsibilities • CRCR or CRCS certification preferred • 6+ years of cross-functional hospital revenue cycle experience preferred • Experience with Medicare FISS/DDE adjustment workflows preferred • Familiarity with UB-04 and CMS-1500 claim types preferred • Bilingual English/Spanish preferred

🏖️ Benefits

• Access to a 401(k) Retirement Savings Plan • Comprehensive Medical, Dental, and Vision Coverage • Paid Time Off • Paid Holidays • Pet Care Coverage • Employee Assistance Program (EAP) • Discounted services • Flexible work hours when possible • Dynamic and inclusive workplace culture