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.

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Full-timeAR / Billing & Insurance Specialist