Accounts Receivable (AR) Billing Specialist Overview

About Us:

Somnia Anesthesia, Inc is a leading healthcare organization dedicated to providing exceptional patient care and services. We are committed to excellence and innovation in the healthcare industry.

Position Summary:

The AR Medical Billing Specialist will be responsible for managing the healthcare organization's billing and accounts receivable processes. This role ensures timely submission of medical claims to insurance companies, works on follow-ups, resolves denials, and ensures accurate payment posting. The ideal candidate has strong knowledge of medical billing practices, insurance guidelines, and excellent analytical skills to ensure that accounts are collected promptly and efficiently.

Accounts Receivable (AR) Billing Specialist Responsibilities

• Submit accurate and timely medical claims to insurance companies, including Medicare, Medicaid, and private insurers.
• Follow up on unpaid or underpaid claims to ensure the timely collection of outstanding balances.
• Identify and resolve claim denials and rejections, including researching issues and resubmitting claims as needed.
• Review payments to patient accounts and reconcile discrepancies between payments received and allowed amounts.
• Verify patient insurance coverage and eligibility for services provided.
• Communicate with insurance companies, and Practice Administrators to resolve billing issues.
• Generate and analyze accounts receivable reports to identify trends and areas for improvement.
• Stay updated with changes in medical billing regulations and insurance requirements.

Accounts Receivable (AR) Billing Specialist Qualifications

• High school diploma or equivalent; with at least 2+ years’ experience within accounts receivable.
• Proven experience as a Medical Billing Specialist or in a similar role, with a focus on accounts receivable.
• Excellent communication and customer service skills, with the ability to communicate clearly and professionally with insurance companies, patients, and healthcare providers.
• Attention to detail and ability to maintain a high level of accuracy.
• Proficiency in using electronic health record (EHR) systems and coding software.
• Ability to work independently and manage multiple tasks effectively.
• Familiarity with Medicare, Medicaid, and private insurance guidelines.
• Experience within Anesthesia AR preferred.
• Must have experience with accounts receivable management and collections processes in a healthcare environment.