AR Follow-Up Specialist

It’s your choice, choose AdvancedHEALTH. AdvancedHEALTH specializes in medical billing services, accounts receivable, and information management for medical practices. Join our growing team. We promote a fun and friendly work environment. We encourage work/life balance, and we offer competitive wages and benefits.

The AR Follow-up Specialist is responsible for ensuring prompt and complete follow-up on unpaid or denied claims, by following payer specific processes to bill correct claims, submit reconsiderations and appeals, andidentify and escalate denial trends to the Billing Manager. This is a full-time position and does require the candidate to be onsite.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Maintaining AR queues at a reasonable age-base date as defined by management

• Timely submission of medical record documentation requests from payers
• Responsible for reviewing and resolving denied or aging medical claims
• Responsible for timely follow-up on all appeal submissions
• Escalate exhausted appeal efforts, denials, and/or overpayment trends, as needed to Billing Manager for resolution or escalation.
• Work payer projects as directed
  
  
  

KNOWLEDGE, SKILLS, ABILITIES:

• Solid understanding of payer specific billing and claims submission policies, including timely filing limits, medical record, corrected claim, and reconsideration submission
• Advanced business letter writing skills to include correct use of grammar and punctuation required for appeal letter writing and submission
• Working knowledge of professional and institutional claim forms (CMS-1500, UB-04)
• Basic understanding of ICD-10 CM, CPT, Modifier and HCPCS codes, and medical terminology
• Proficient Microsoft Office (Outlook, Word, Excel, and Teams) skills
  
  
  

EDUCATION / EXPERIENCE:

• High School Diploma or equivalent, college coursework preferred
• 1 – 3 years’ experience in a healthcare environment performing billing and/or collections or equivalent revenue cycle experience
• Enterprise eClinical Works E H R experience preferred
• Prior experience and knowledge of Orthopedic, Physical Therapy, Occupational Therapy, and Workers Compensation billing is beneficial
  
  
  

WE OFFER:

• Medical Insurance, Dental, & Vision
• Health Savings Account
• Flex Spending for child care
• Paid life insurance of $50,000
• Paid Long Term Disability Insurance
• Voluntary Life Insurance
• Voluntary Short Term Disability
• Many Aflac Policies: Accident, Hospital, Critical Illness, Identity Theft, Legal Plan
• 401K – very generous plan… the company contributes even if you do not
• PTO (Paid Time Off) – generous plan
• Employee Perks