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Role Description

The AR Specialist II is responsible for managing the accounts receivable (AR) process within the revenue cycle. This role involves:

• Reviewing, processing, and following up on outstanding claims and payments
• Ensuring timely reimbursement from insurance companies, consumers, and other third parties
• Working closely with various internal teams, including billing, coding, and clinical departments
• Resolving discrepancies and addressing denials
• Ensuring compliance with regulations

The Accounts Receivable Specialist is accountable for daily operational tasks associated with revenue cycle accounts receivable, including:

• Follow-up and timely management of requests from consumers and insurance payers
• Preparing all appeals and resolving all upfront edits and denials
• Monitoring and processing monthly write-offs, charge corrections, and reconciliation of claim files

Qualifications

• High School Diploma or equivalent (Required)
• 3 years Revenue Cycle Management required
• Coding knowledge preferred
• Insurance, claims, denials experience

Requirements

• No specific certification or licensure requirements

Benefits

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met