AR Follow-Up Specialist - US Medical Billing & RCM Process

Job Summary:

Progressive Technology is seeking a detail-oriented and proactive AR Follow-Up Specialist to join our dynamic team in the US Medical Billing & Revenue Cycle Management (RCM) process. The AR Follow-Up Specialist will play a critical role in managing and resolving accounts receivable discrepancies, ensuring timely payments, and maintaining efficient communication with healthcare providers and insurance companies. The ideal candidate will be highly organized, able to handle complex billing issues, and thrive in a fast-paced, collaborative environment.

Key Responsibilities:

  • AR Follow-Up: Proactively follow up with insurance companies, healthcare providers, and patients to ensure timely resolution of outstanding balances.

  • Account Management: Manage a designated portfolio of accounts to ensure accurate and prompt follow-up on unpaid claims and billing issues.

  • Insurance Verification: Verify insurance information, investigate denials, and resolve issues to ensure claims are paid correctly and promptly.

  • Billing Discrepancies: Identify and resolve billing discrepancies, coding issues, and underpayments, ensuring compliance with company policies and procedures.

  • Documentation: Maintain detailed records of all communications, actions taken, and outcomes regarding accounts.

  • Collaborative Communication: Work closely with internal teams, including coding, billing, and customer service, to ensure seamless processing and resolution of accounts.

  • Reporting: Provide timely updates and reports on account status and collection efforts, identifying trends and recommending solutions for continuous improvement.

  • Adherence to Compliance: Ensure all actions comply with healthcare regulations, insurance policies, and company guidelines.

Required Skills and Qualifications:

  • Education: High School Diploma or equivalent required; Associates Degree or higher preferred.

  • Experience: Minimum of 2 years of experience in accounts receivable, medical billing, or revenue cycle management (RCM).

  • Knowledge of Billing and RCM: Familiarity with medical billing processes, insurance procedures, CPT codes, ICD codes, and payer guidelines.

  • Technical Proficiency: Proficient in using medical billing software and MS Office Suite (Excel, Word, Outlook).

  • Communication Skills: Excellent verbal and written communication skills, with the ability to communicate effectively with insurance companies, patients, and internal teams.

  • Attention to Detail: Strong attention to detail and the ability to resolve complex billing and payment issues efficiently.

  • Problem-Solving Skills: Ability to investigate, analyze, and resolve billing discrepancies and claim denials.

Experience:

  • Preferred Experience: At least 2 years of experience working in medical billing, specifically within the accounts receivable or follow-up process.

  • Industry Knowledge: Knowledge of the healthcare industry, insurance claims processes, and revenue cycle management best practices.

  • Certifications: Certification in Medical Billing and Coding (e.g., AAPC, AHIMA) is a plus.

Working Hours:

  • Schedule: Full-time position with flexible working hours.

  • Work Environment: Primarily remote with potential for occasional in-office meetings or training sessions.

Knowledge, Skills, and Abilities:

  • Knowledge: In-depth understanding of medical billing, insurance coding, and the RCM process.

  • Skills: Strong organizational and multitasking skills with the ability to manage a large volume of accounts.

  • Abilities: Ability to remain focused under pressure, meet deadlines, and handle multiple priorities simultaneously.

  • Customer Service: Ability to manage sensitive situations with tact, professionalism, and a customer-centric approach.

Benefits:

  • Competitive Salary: Based on experience and qualifications.

  • Health Insurance: Comprehensive health, dental, and vision plans.

  • Retirement Plans: 401(k) with company match.

  • Paid Time Off (PTO): Generous PTO policy, including vacation, sick days, and holidays.

  • Work-Life Balance: Flexible work hours to support personal and professional balance.

  • Training & Development: Ongoing professional development opportunities to enhance skills and career growth.

Why Join Progressive Technology:

At Progressive Technology, we believe in fostering an inclusive and innovative environment where our employees can grow professionally and personally. As an integral member of our team, you will have the opportunity to contribute to meaningful work while advancing your career within a rapidly evolving industry. Our supportive team culture, combined with competitive benefits and work flexibility, makes us an employer of choice for talented professionals.

How to Apply:

Interested candidates are encouraged to submit their resume and a cover letter detailing their qualifications and experience to [insert application email or link here]. Please reference the position title AR Follow-Up Specialist – US Medical Billing & RCM Process in your application.

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