Billing/AR Specialist

We are seeking an experienced Medical Accounts Receivable and Billing Specialist to join our team. This position will be responsible for managing the full medical billing and accounts receivable process, including claim submission, payment posting, insurance follow-up, denial resolution, and patient account management. This position sits on site Monday-Friday.

The ideal candidate has hands-on experience working in a small healthcare organization, private medical practice, physician office, or clinic environment. We are specifically seeking someone who is comfortable working independently and taking ownership of the billing and A/R process rather than someone who has worked exclusively within a large hospital or corporate healthcare system.

Key Responsibilities

Manage the full medical billing and accounts receivable process from claim submission through final payment Submit and electronically process medical claims to insurance companies Review claims for accuracy and resolve billing errors prior to submission Post insurance and patient payments accurately and efficiently Follow up on outstanding insurance claims and unpaid accounts Research and resolve denied, rejected, and underpaid claims Identify and correct billing discrepancies and eligibility issues Work insurance aging reports and maintain a strong focus on reducing outstanding A/R Contact insurance companies regarding claim status, payment issues, denials, and appeals Process claim corrections, resubmissions, and appeals as needed Maintain accurate patient account information and billing records Assist with patient billing questions and account inquiries when necessary Review Explanation of Benefits and insurance remittance information Reconcile payments and identify discrepancies between billing, payments, and patient accounts Monitor A/R aging and identify accounts requiring additional follow-up Maintain compliance with healthcare billing regulations and company policies Work closely with clinical and administrative staff to resolve billing and documentation issues Assist with additional administrative and billing-related responsibilities as needed in a small-office environment

• Small, private clinic AR experience highly preferred
• Solid understanding of medical billing
• Knowledge of Accounts Receivable (AR) in a healthcare/clinical environment
• Demonstrated analytical skills in basic accounts receivable and accounting policy
• Current and relevant ERP system experience
• AA or BS/BA degree in Accounting or in a related field