About the role

Prepare, review, and submit insurance claims accurately and timely, utilizing electronic and paper billing methods as required

What you’ll do

Prepare, review, and submitPrepare, review, and submit insurance claims accurately and timely, utilizing electronic and paper billing methods as required

Perform account follow-up onPerform account follow-up on outstanding insurance balances, ensuring proper payment and reimbursement in compliance with hospital policy and payer guidelines

Assist Denial and PaymentAssist Denial and Payment Variance teams in researching, analyzing, and resolving denied or underpaid claims, including technical and administrative denials, and escalate complex issues when necessary

Collaborate with providers, codingCollaborate with providers, coding, revenue integrity, and patient access teams to ensure claims are complete, accurate, and compliant

Retrieve, review, and submitRetrieve, review, and submit medical documentation requested by insurance carriers to support claim adjudication

Come work at the best place to give and receive care! Job Description: Who We Are: Here at Elliot Hospital, we take great pride in serving our community, patients, and families. If you meet the requirements below, and are ready for a great new adventure, consider applying! About the Job: The Professional Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs.

This role ensures proper reimbursement by preparing, submitting, and monitoring claims, and resolving outstanding account balances. The AR Specialist serves as a representative between the hospital, payers, and other internal departments to promote efficient claims resolution and compliance with federal, state, and payer-specific regulations. What You’ll Do: Prepare, review, and submit insurance claims accurately and timely, utilizing electronic and paper billing methods as required Perform account follow-up on outstanding insurance balances, ensuring proper payment and reimbursement in compliance with hospital policy and payer guidelines Assist Denial and Payment Variance teams in researching, analyzing, and resolving denied or underpaid claims, including technical and administrative denials, and escalate complex issues when necessary Collaborate with providers, coding, revenue integrity, and patient access teams to ensure claims are complete, accurate, and compliant Retrieve, review, and submit medical documentation requested by insurance carriers to support claim adjudication And more.

Who You Are: High school diploma or GED, Required Epic Experience, Preferred Why You’ll Love Us: Health, dental, prescription, and vision coverage for full-time & part-time employees Short term, long term disability, Accident insurance, & life insurance Tuition Reimbursement Referral bonuses Accrued earned time for full-time & part-time employees 403b Retirement plans, with generous employer contributions And more! Work

M-F - 8:00am - 4:30pm SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Professional Accounts Recievable Specialist - EHS Patient Accounts - Full Time

About the role