Accounts Receivable Specialist - Medical Billing

Bionic Prosthetics and Orthotics is seeking an Accounts Receivable Specialist specializing in older and outstanding insurance claims. This position is responsible for researching, tracking, and resolving aged insurance accounts to maximize reimbursement. The role focuses on insurance claims and collections rather than traditional accounting functions.

Essential Responsibilities

• Review and manage aged and outstanding insurance claims.
• Research older claims to determine the reason for non-payment or delayed payment.
• Contact insurance companies to obtain claim status and resolve outstanding issues.
• Follow up on denied, rejected, underpaid, and unpaid claims.
• Submit corrected claims, appeals, reconsiderations, and supporting documentation as needed.
• Identify and resolve billing issues preventing payment.
• Review EOBs, remittance information, and claim history.
• Maintain detailed documentation of all claim follow-up and correspondence.
• Develop effective follow-up strategies for difficult or aging claims.
• Work with internal billing and clinical teams to obtain information needed to resolve claims.
• Monitor assigned accounts and consistently follow up until claims are resolved.
• Meet established productivity and collection goals.
• Perform other duties as assigned.

Qualifications

• Previous experience with medical insurance billing, claims follow-up, or healthcare accounts receivable.
• Experience working with aged or difficult-to-collect insurance claims strongly preferred.
• Knowledge of insurance processes, claim denials, appeals, and payer requirements.
• Strong research and problem-solving skills.
• Excellent attention to detail and organization.
• Ability to communicate professionally with insurance companies and internal staff.
• Ability to manage a large volume of accounts and maintain consistent follow-up.
• Experience with medical billing or practice management software preferred.

Powered by JazzHR