AR Specialist

🔥 6 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 No degree required

👻 Ghost score 12%

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Logo of Pain Specialists of America

Pain Specialists of America

201 - 500 employees

🏥 Healthcare

👥 B2C

Healthcare • B2C

Pain Specialists of America is a multi-site medical practice specializing in interventional pain management, operating clinics in Central Texas. The practice offers comprehensive, minimally invasive treatments and personalized, multidisciplinary pain-management plans for chronic and acute conditions — including back and spine, neck, head/facial, shoulder, wrist, abdominal/pelvic, nerve and post-surgical pain, limb pain, and vertebral compression fractures. PSA emphasizes patient access (new patient appointments, self-scheduling, patient portal, AI phone assistant), physician referrals and partnerships, patient education and therapy partnerships, and aims to be a single-source pain management provider focused on improving patients’ quality of life.

📋 Description

• Review and research claims denials and contact payers to verify detailed denial reasons when necessary • Contact patients to obtain accurate insurance information • Prepare documentation and file reconsiderations and appeals as appropriate • Identify and communicate denial/rejection trends to management • Identify and resolve discrepancies • Navigate and research insurance policies and benefits for policy exclusions • Navigate and research payer medical reimbursement policies and exclusions • Review and work all daily correspondence received from patients and payers • Understand and act on timely filing guidelines associated with claims filing, reconsiderations, and appeals for assigned payers • Review accounts for accuracy, including payments and adjustments • Work with medical EOBs, patient deductibles and copays, and insurance or third-party correspondence • Work with payer websites • Work aged AR EDI transactions and troubleshoot issues • Perform other assigned duties

🎯 Requirements

• eClinicalWorks experience is preferred • HST experience is strongly preferred • Minimum of 2-4 years of medical billing, collections, and/or payment posting experience • High school diploma or GED • Excellent time management and organizational skills • Computer literacy • Ability to prioritize workload • 10 Key accuracy and proficiency • Ability to work independently and adapt to a fast-changing environment • Knowledge of Medicare, Medicaid, Medicaid MCO’s, and commercial insurance • Strong problem-solving and critical thinking skills • Strong interpersonal and communications skills • ICD-10/CPT knowledge • Adherence to all HIPAA guidelines/regulations

🏖️ Benefits

• Fully remote work arrangement

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