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FULLY REMOTE- Patient AR Specialist

Job Overview:

The Patient Accounts Receivable Specialist is responsible for managing the accounts receivable process for patient-related services. This role involves working with insurance companies, patients, and other departments to ensure that all patient balances are accurately billed and payments are collected in a timely manner.

Key Responsibilities:

Billing and Invoicing: Prepare and submit patient invoices for services rendered, ensuring accuracy in charges.
Payment Processing: Post payments and adjustments to patient accounts; monitor outstanding balances and assist in resolving payment issues.
Insurance Verification: Verify insurance information for accuracy and ensure claims are submitted correctly to insurance providers.
Follow-up on Claims: Track unpaid or denied claims, follow up with insurance companies or patients, and resolve any discrepancies or billing issues.
Collections: Contact patients to remind them of outstanding balances, set up payment plans, and handle collections for overdue payments.
Patient Communication: Answer patient inquiries related to billing and payment concerns, explaining charges, insurance coverage, and payment options.
Account Reconciliation: Reconcile accounts by reviewing payments, adjustments, and outstanding balances.
Reporting: Generate and review accounts receivable reports to ensure timely collection and identify any issues with billing or payment procedures.
Compliance: Ensure all billing and collection practices comply with healthcare regulations and insurance policies.
Collaboration: Work closely with other departments (e.g., insurance, finance, patient services) to resolve billing-related issues.

Skills and Qualifications:

Education: High school diploma required; Associate’s degree or equivalent experience in healthcare administration or accounting preferred.
Experience: Previous experience in medical billing, patient accounts receivable, or healthcare finance is preferred.
Technical Skills: Proficient with accounting software and electronic health record (EHR) systems (e.g., Epic, Cerner, or other billing platforms).
Communication Skills: Strong written and verbal communication skills for patient and insurance communications.
Detail-Oriented: Strong attention to detail to ensure accurate billing and payment processing.
Problem-Solving: Ability to identify billing issues, investigate discrepancies, and implement effective solutions.
Organizational Skills: Ability to prioritize tasks and manage multiple accounts simultaneously.