Account Receivable Executive, "AR Executive", "AR Analyst", "Senior AR Analyst",

Job Title: Medical Billing AR Specialist

Department: Revenue Cycle Management (RCM)
Reports To: Billing Manager / AR Team Lead
Employment Type: Full-Time / On-site

Job Summary:

The Medical Billing AR Specialist is responsible for managing and resolving outstanding Accounts Receivable (A/R) claims, ensuring accurate and timely reimbursement from insurance companies and patients. The ideal candidate will have a strong understanding of medical billing procedures, payer policies, denial management, and claim follow-up processes.

Key Responsibilities:

• Review and follow up on unpaid or denied insurance claims to ensure prompt payment.
• Identify and resolve billing errors, underpayments, and denials.
• Submit corrected claims, appeals, and reconsiderations as needed.
• Communicate effectively with insurance companies, patients, and internal departments to resolve account discrepancies.
• Post payments, adjustments, and write-offs accurately in the billing system.
• Maintain detailed documentation of all collection activities and claim statuses.
• Review aging reports regularly and prioritize high-value or aging claims.
• Work with credentialing and billing teams to address payer setup or claim rejection issues.
• Stay updated with payer rules, fee schedules, and compliance guidelines (HIPAA, CMS, etc.).
• Meet or exceed daily and monthly productivity and quality targets.

Qualifications:

• Education: High school diploma or equivalent (Bachelor’s degree preferred).
• Experience:
• Minimum 2 years of experience in medical billing and AR follow-up (US Healthcare experience preferred).
• Strong knowledge of EOBs, denials, CPT/ICD codes, and payer portals.
• Experience working with EMR/EHR or billing software (e.g., Athenahealth, eClinicalWorks, AdvancedMD, Kareo, etc.).
• Skills:
• Excellent communication (written and verbal).
• Strong analytical and problem-solving skills.
• Attention to detail and accuracy.
• Ability to multitask and meet deadlines.
• Proficiency in MS Office (Excel, Word, Outlook).

Performance Metrics:

• A/R days outstanding
• Denial resolution rate
• Collection percentage
• Productivity (claims worked per day)
• Accuracy rate

Preferred Attributes:

• Certification in medical billing and coding (CPC, CPB, or equivalent) is a plus.
• Experience in Primary Care, Internal Medicine, or Specialty Billing preferred.
• Self-motivated, goal-oriented, and team player.

Compensation & Benefits:

• Competitive salary based on experience.
• Performance-based incentives.
• Health insurance and paid time off (as applicable).
• Opportunities for growth and professional development.

Job Types: Full-time, Permanent

Benefits:

• Food provided
• Health insurance
• Paid time off
• Provident Fund

Work Location: In person