Accounts Receivable (AR) Specialist — Medical Billing

Posted 2 months ago

Department: Revenue Cycle Management (RCM) / Accounts Receivable

Position Overview

The AR Specialist is responsible for managing the full Accounts Receivable cycle, ensuring timely follow-up with insurance companies, resolving claim denials, and driving overall collections performance. This role requires strong analytical skills, excellent communication, and a deep understanding of U.S. healthcare billing, insurance guidelines, and payer-specific policies.

Key Responsibilities

1. Claims Follow-Up & Resolution

Perform timely follow-ups on outstanding insurance claims via phone calls and payer portals.
Review claims statuses and identify reasons for denials, rejections, or underpayments.
Initiate reprocessing, appeals, and corrected claims based on payer feedback.
Work claims across Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, and commercial payers.

2. Denial Management

Analyze denial trends and categorize issues (coding, eligibility, credentialing, medical records, billing errors).
Prepare appeal letters with appropriate supporting documents.
Coordinate with billing, coding, and credentialing teams to resolve root causes.

3. Payment Posting & Reconciliation (if required)

Review EOBs, ERAs, and payment discrepancies.
Communicate payment variances to team leads for correction.
Ensure accurate posting and adjustments within the system.

4. Documentation & Reporting

Maintain detailed notes for each account in the system.
Generate daily/weekly reports on AR aging, denial trends, and collection performance.
Track progress against monthly AR/collection targets.

5. Communication & Coordination

Liaise with internal teams (Billing, Coding, Credentialing) to resolve account issues.
Communicate clearly with insurance representatives and escalate unresolved matters when needed.
Provide regular updates to Team Lead/Manager on account statuses.

Required Skills & Qualifications

Minimum 1–3 years of experience in U.S. medical billing AR follow-up.
Strong understanding of EOBs, ERAs, CPT, ICD, HCPCS codes, and common denial codes.
Excellent English communication (verbal & written).
Familiar with EMR/EHR and billing systems such as eClinicalWorks, CareCloud, DrChrono, AdvancedMD, or Athena (preferred).
Strong analytical and problem-solving skills.
Ability to handle large volumes of accounts with accuracy and attention to detail.
Knowledge of HIPAA compliance and confidentiality standards.

Preferred Qualifications

Experience working for U.S.-based clinics, urgent care, specialists, or multi-specialty practices.
Familiarity with RCM KPIs — aging buckets, first-pass resolution, denial rates, and collection % targets.
Ability to work independently and in a fast-paced environment.
Strong follow-up discipline and time management.

KPIs / Performance Expectations

Maintain AR aging under assigned thresholds (e.g., <90 days).
Meet monthly collection and follow-up targets.
Reduce denial rates through timely resolution.
Maintain accurate account documentation and follow-up logs.
Zero tolerance for HIPAA violations.

Benefits

Competitive salary package.
Monthly performance bonuses based on KPIs.
Medical insurance allowance (if applicable).
Professional development and training.
Growth path to Senior AR Specialist / Team Lead.

How to Apply

Interested candidates may send their CV to hr@genmeditech.com with the subject line: “AR Specialist Application – [Name]”.