What are the responsibilities and job description for the AR Specialist II (Remote) position at ScionHealth?
Description
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
The AR Specialist II independently manages insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, and financial documentation. This role requires prior billing experience and proficiency in identifying and resolving payer-related issues.
Essential Functions
Education
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
The AR Specialist II independently manages insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, and financial documentation. This role requires prior billing experience and proficiency in identifying and resolving payer-related issues.
Essential Functions
- Analyze insurance denials and rejections and process appeals as needed.
- Troubleshoot account issues, including demographic discrepancies and authorization concerns.
- Process and reconcile refund requests and banking deposits.
- Review and interpret EOBs for proper payment posting.
- Collaborate with accounting and management to resolve issues.
- Maintain documentation and perform claim resubmissions.
- Advanced knowledge of insurance denial management.
- Ability to trend and report recurring issues.
- Skilled in EMR navigation and HIPAA compliance.
- Strong analytical, communication, and collaboration skills.
Education
- High school diploma or equivalent.
- None required
- Minimum of 3 years of physician billing experience.
- Experience with Rural Health Clinic or Provider-Based Billing preferred but not required.