AR Follow Up and Billing Specialist

Accounts Receivable Specialist (AR Specialist) – Milwaukee, WI Salary: $47,000.00-$54,000.00 Location: Milwaukee, WI Overview Senior-level details are provided in the job description. The primary responsibility of this position is to work directly with insurance companies, healthcare providers, and patients to ensure claims are processed and paid. This role requires reviewing and appealing unpaid and denied claims, and maintaining an extraordinary level of attention to detail in a high-volume, fast-paced environment. The position reports directly to the Revenue Cycle Supervisor. Responsibilities

Submit all claims with a goal of zero errors; verify completeness and accuracy before submission. Accurately post all insurance payments by line item. Follow up timely on insurance claim denials, exceptions, or exclusions; meet deadlines. Read and interpret insurance explanations of benefits. Utilize aging account receivable reports or work queues to follow up on unpaid claims aged over 30 days. Coordinate medical records requests and provide additional information to providers or insurance companies as needed. Regularly meet with the Revenue Cycle Supervisor to discuss and resolve reimbursement issues or billing obstacles. Attend monthly staff meetings and continue educational sessions as required; perform additional duties as assigned. Qualifications

Education and/or Experience: High School Diploma required, with a minimum of two years of experience in healthcare, billing, and alternate payor reimbursement claims processing. Previous experience with medical terminology and coding is required. Strong professional communication skills, including oral, written, and presentation abilities. Experience with Medicare and Medicaid claims is preferred. Familiarity with insurance processes, managed care, PPOs, FQHC billing, and Milwaukee County systems is highly desirable. Ability to work effectively under pressure and manage multiple priorities; demonstrated ability to establish and maintain positive working relationships with patients, medical staff, coworkers, and the general public. Proficient in reading, writing, and communicating clearly in both verbal and written forms. Ability to review and appeal claims to maximize reimbursement. Additional information Contractors or employees in certain departments may be required to be fully vaccinated according to organizational policy. This job is part of a larger recruitment effort; referrals may increase interview chances. We are an Affirmative Action/Equal Opportunity Employer and consider qualified applicants for employment without regard to race, religion, color, national origin, ancestry, age, sex, gender, gender identity, gender expression, sexual orientation, genetic information, medical condition, disability, marital status, or protected veteran status. Application instructions: Apply Online: ipc.us/t/3A71ECD4700F4430

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