Insurance Follow-Up Representative

Job Title: Accounts Receivable Specialist – Physician AR

Department: Revenue Cycle
Reports to: Accounts Receivable (AR) Manager

Position Summary:

The Accounts Receivable (AR) Specialist is responsible for managing and resolving outstanding accounts receivable balances related to physician services. This position plays a critical role in the revenue cycle by following up on unpaid claims, analyzing denials, and ensuring timely and accurate reimbursement from third-party payers and patients. The AR Specialist works closely with insurance companies, patients, and internal departments to identify and resolve billing issues, ensuring optimal cash flow and compliance with payer guidelines.

Key Responsibilities:

• Follow up on outstanding receivables with third-party payers and patients to ensure timely payment.
• Analyze and resolve denied or underpaid claims; identify root causes and recommend corrective actions.
• Review and work claim edits, rejections, and denials to ensure claims are corrected and resubmitted as appropriate.
• Respond to patient inquiries regarding account balances and insurance billing.
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