AR Claim Status Specialist
Core
Manage insurance claims from submission through resolution, investigating unpaid/denied claims and ensuring accurate patient account balances.
Role type
Accounts Receivable Claims Specialist
Builds
Clean claims and collections for chiropractic healthcare providers
Domain
Healthcare billing and revenue cycle management
Required skills
Insurance claim submission, denial/appeals processing, payer portal navigation, EOB review, A/R aging analysis, claim investigation, billing system management, data accuracy, time management
Preferred skills
Medical billing experience, insurance claims background, revenue cycle management knowledge, healthcare reimbursement understanding, Platinum Patient Accounting Software proficiency, Microsoft Office skills
Technologies
Platinum Patient Accounting Software, Microsoft Office, payer portals
Responsibilities
Submit and resubmit electronic insurance claims, follow up on unpaid/denied claims via phone/portals, prepare appeals and reconsiderations, review EOBs and payer responses, investigate outstanding A/R balances, analyze A/R reports for aging claims, research claim discrepancies, maintain patient ledgers, document claim activity, escalate complex claims, identify denial trends
Seniority
Mid-level, hands-on IC