Job Overview:
The AR / Billing & Insurance Specialist is responsible for ensuring timely and accurate insurance reimbursement for a medical clinic. This role requires a strong medical billing and insurance background, with hands-on experience managing the full insurance follow-up process to secure payment for clinical services rendered
Key Responsibilities:
● Prepare, submit, and resubmit medical insurance claims
● Monitor accounts receivable (AR) and follow up on unpaid or delayed claims
● Communicate directly with insurance payers to resolve claim issues
● Manage:
○ claim rejections
○ denials
○ underpayments
● Submit appeals and supporting documentation (medical records, authorizations, corrected claims)
● Correct billing errors related to CPT, ICD-10, or modifiers and resubmit claims
● Track AR aging (30/60/90+ days) and prioritize follow-up accordingly
● Coordinate with providers and internal clinic teams to obtain required clinical or administrative documentation
● Work closely with the Payment Poster to address discrepancies identified after payment posting
Required Qualifications:
● 3–4 years of experience in medical billing, AR, or insurance follow-up
● Proven experience working in a medical clinic or healthcare organization
● Strong knowledge of CPT, ICD-10, HCPCS, and medical billing workflows
● Experience handling insurance portals, clearinghouses, and payer communications
● Strong analytical, organizational, and follow-up skills
● Ability to manage multiple payers and high claim volumes
Preferred Skills:
● Experience handling insurance denials and appeals across multiple payers
● Strong understanding of payer-specific billing rules and reimbursement guidelines
● Ability to analyze AR aging reports and prioritize collections effectively
● Familiarity with medical necessity documentation and prior authorization processes
● Strong written and verbal communication skills for payer and internal coordination
● Experience working with clearinghouses and insurance portals
● Ability to identify root causes of recurring denials and recommend process improvements
● Comfortable managing high claim volumes and multiple follow-ups simultaneously
● Prior experience in a multi-provider or specialty medical clinic setting
What We Offer:
● Competitive Salary: We offer a market-aligned compensation package based on experience and performance.
● Remote Work Flexibility: Enjoy the flexibility of working from anywhere, with the support of a collaborative and dynamic remote team.
● Professional Growth: We are committed to your professional development and provide opportunities for growth and advancement within the company.
● Inclusive Work Environment: Join a diverse and inclusive team where your contributions are valued, and your voice is heard.