Medical Accounts Receivable Specialist

Synergy Medical Solutions, LLC is a leading service provider for Video Ambulatory EEG's. Our headquarters are in Fort Lauderdale, Florida and service areas are rapidly expanding throughout the country!

Position Summary
The Medical AR Follow-Up Specialist is responsible for managing insurance and patient accounts to ensure timely and accurate reimbursement. This role focuses on reviewing outstanding claims, conducting follow-up with payers, resolving denials, and maintaining clean aging. The specialist works closely with billing teams, coders, and insurance providers to ensure compliance with payer guidelines and optimize revenue recovery.

Key Responsibilities

Insurance AR Follow-Up

• Review aging reports daily to identify and prioritize outstanding insurance claims.
• Follow up with commercial, Medicare, Medicaid, and other payers via phone, portals, and written communication.
• Verify claim status, identify delays, and work with payers to ensure prompt resolution.
• Resubmit or correct claims as needed (e.g., coding edits, missing documentation, demographic corrections).

Denial Management

• Review claim denials and partial payments to determine reasons and appropriate corrective actions.
• Prepare and submit appeals with supporting documentation within payer timeframes.
• Track and follow up on appealed claims until resolution.
• Collaborate with front-end and billing team to prevent recurring denials.

Payment Posting & Reconciliation Support

• Identify payment discrepancies, underpayments, and misapplied payments.
• Process adjustments, corrected claims, or refunds when necessary.
• Process payment posting and resolve remittance and EOB/ERA issues.

Documentation & Reporting

• Maintain detailed notes and documentation for all account actions within the practice management system.
• Update AR statuses and ensure accurate account classification (e.g., pending appeal, rebill, medical records needed).
• Generate AR follow-up reports and provide updates to RCM manager regarding trends, payer issues, and high-risk accounts.

Patient Account Support

• Assist patient representatives with billing questions related to insurance activity.
• Clarify balances after insurance resolution and ensure accurate patient responsibility assignment.

Qualifications

Required

• 3 years of experience in medical billing, AR follow-up, or healthcare revenue cycle.
• Strong knowledge of insurance billing practices, CPT/HCPCS, ICD-10 codes, and EOB/ERA interpretation.
• Experience working with major payers (Medicare, Medicaid, commercial insurers).
• Familiarity with medical billing software/practice management systems (e.g., Brightree, Payer portals Availity).
• Excellent communication skills, especially when dealing with payer representatives.
• Strong problem-solving and analytical skills.

Preferred

• Knowledge of payer-specific rules and timely filing guidelines.
• Understanding of the full revenue cycle (charge entry → claims → payments → AR).

Competencies

• Detail-oriented with strong follow-through
• Ability to prioritize and manage high-volume workloads
• Persistence and effective negotiation when working with payers
• Strong documentation and organizational skills
• Ability to work independently and as part of a team

Working Conditions

• Full-time position, Monday–Friday in office
• Requires extended phone and computer work

We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $22