Revenue Cycle AR Specialist I resolving insurance balances and handling claims in healthcare system. Following up with payors and submitting appeals for denied claims.
Responsibilities
The Revenue Cycle AR Specialist I is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims.
Responsible for ensuring claims are paid by insurance carrier to the organization correctly.
Works receivable inventory within department standards including, as applicable: maintaining assigned work list of hospital or professional accounts; documenting agreement arrangements or reasons for outstanding balances; performs collection & follow up efforts; coordinating and/or posting adjustments, contractual allowances, or refunds within levels of authority.
Requirements
Education:
High School Diploma, GED, or a higher level of education that would require the completion of high school.
Experience:
Minimum 1 year completed experience in a Healthcare Revenue Cycle role.
Education Preferred:
Associate’s Degree in Healthcare Management, Finance, or related field.
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