Accounts Receivable; AR) Specialist — Medical Billing

Department: Revenue Cycle Management (RCM) / Accounts Receivable
Position Overview

The AR Specialist is responsible for managing the full Accounts Receivable cycle, ensuring timely follow-up with insurance companies, resolving claim denials, and driving overall collections performance. This role requires strong analytical skills, excellent communication, and a deep understanding of U.S. healthcare billing, insurance guidelines, and payer-specific policies.

• Perform timely follow-ups on outstanding insurance claims via phone calls and payer portals.
• Review claims statuses and identify reasons for denials, rejections, or underpayments.
• Initiate reprocessing, appeals, and corrected claims based on payer feedback.
• Work claims across Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, and commercial payers.
• Analyze denial trends and categorize issues (coding, eligibility, credentialing, medical records, billing errors).
• Prepare appeal letters with appropriate supporting documents.
• Coordinate with billing, coding, and credentialing teams to resolve root causes.
• Review EOBs, ERAs, and payment discrepancies.
• Communicate payment variances to team leads for correction.
• Ensure accurate posting and adjustments within the system.

• Maintain detailed notes for each account in the system.
• Generate daily/weekly reports on AR aging, denial trends, and collection performance.
• Track progress against monthly AR/collection targets.

• Liaise with internal teams (Billing, Coding, Credentialing) to resolve account issues.
• Communicate clearly with insurance representatives and elevate unresolved matters when needed.
• Provide regular updates to Team Lead/Manager on account statuses.

• Minimum 1–3 years of experience in U.S. medical billing AR follow-up.
• Strong understanding of EOBs, ERAs, CPT, ICD, HCPCS codes, and common denial codes.
• Familiar with EMR/EHR and billing systems such as eClinical
  
  Works, Care Cloud, DrChrono, AdvancedMD, or Athena (preferred).
• Strong analytical and problem‑solving skills.
• Ability to handle large volumes of accounts with accuracy and attention to detail.
• Knowledge of HIPAA compliance and confidentiality standards.

• Experience working for U.S.
  
  -based clinics, urgent care, specialists, or multi‑specialty practices.
• Familiarity with RCM KPIs — aging buckets, first‑pass resolution, denial rates, and collection % targets.
• Ability to work independently and in a fast‑paced environment.
• Strong follow‑up discipline and time management.

• Maintain AR aging under assigned thresholds (e.g., ).
• Meet monthly collection and follow‑up targets.
• Reduce denial rates through timely resolution.
• Maintain accurate account documentation and follow‑up logs.
• Zero tolerance for HIPAA violations.
• Competitive salary package.
• Monthly performance bonuses based on KPIs.
• Medical insurance allowance (if applicable).
• Professional development and training.
• Growth path to Senior AR Specialist / Team Lead.