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Senior AR Collections Specialist
3 weeks ago
As a highly skilled Senior AR Collections Specialist, you will be responsible for managing and resolving complex and high-dollar accounts receivable (AR) claims in the healthcare services industry. This role requires a deep understanding of medical billing, coding, payer regulations, and collection techniques.
The ideal candidate will have a proven track record of successfully collecting outstanding AR and possess excellent communication and interpersonal skills. They will also be proficient in using billing software and Microsoft Office Suite, with the ability to work independently and as part of a team.
The Senior AR Collections Specialist will play a key role in improving the overall collection process by identifying trends in denials and payment issues and proposing solutions to prevent recurrence. They will also work closely with other departments, such as billing, coding, and registration, to resolve billing errors and process issues.
- Key Responsibilities:
- Manage and resolve complex and high-dollar AR claims.
- Investigate and analyze aged AR to determine appropriate collection strategies.
- Contact insurance companies, patients, and other responsible parties to pursue payment.
- Document all collection activities accurately and thoroughly in the billing system.
- Review and interpret Explanation of Benefits (EOBs) to identify discrepancies and denials.
- Appeal denied claims and follow up on pending appeals.
- Negotiate payment plans with patients according to established guidelines.
- Identify and escalate problematic accounts to management for further action.
- Required Skills and Qualifications:
- Undergraduate degree or equivalent required; Associate's or Bachelor's degree in a related field preferred.
- Minimum of 5-7 years of experience in Phycian Billing/Hospital billing RCM AR collections.
- Proven track record of successfully collecting outstanding AR.
- Experience working with various insurance payers (e.g., Medicare, Medicaid, Commercial).
- In-depth knowledge of revenue cycle management.
- Strong understanding of payer regulations and reimbursement processes.
- Excellent communication and interpersonal skills.
- Strong analytical and problem-solving abilities.
Preferred Qualifications:
- Experience with EPIC preferred but not mandatory.
- Both Hospital and Professional billing experience preferred.
