Accounts Receivable Associate Specialist is responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues.
Identifies and analyzes denials, payment variances, and no response claims and acts to resolve claims/accounts.
Provides support for all denial, no response, and audit activities.
Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement.
Works with management to identify, trend, and address root causes of issues in the A/R.
Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements.

2 or 4-year college degree preferred
1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred.
Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
Excellent Verbal skills.
Problem solving skills
Critical thinking skills
Adaptability to changing procedures and growing environment.
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Accounts Receivable Associate Specialist

Key skills