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Job ID / Title:
Medical Accounts Receivable Specialist
Job Category:
Customer Service Internet
Work Location:
Brighton Road

Job Description

Position Summary:  

The AR Billing Representative is responsible for assisting the provider with collection of payments due for the hospital service from the payer and/or patient. The ideal candidate should have 2-3 years Medicare and/or Medicaid reimbursement experience in a hospital or provider setting. The candidate should be organized, punctual and detail oriented, with a strong knowledge of Medicare regulations and provisions along with knowledge with ICD9, ICD10 and CPT codes.  Excellent follow-up and troubleshooting skills are required. 

  • Follow up on all Medicare and/or Medicaid claims from billing through final resolution 
  • Review and prepare claims for electronic billing submission 
  • Identify billing errors for correction and resubmit via adjustment or new submission 
  • Review Medicare/Medicaid Remittance advise for payment errors, rejection and denials 
  • Initiate appeals 
  • Keep current with Medicare/Medicaid regulations and procedures 
  • Communicate issues that are prohibiting claim adjudication to management for resolution 
  • Act cooperatively and responsibly with co-workers, management and clients
  • Maintain a professional attitude 
  • Maintain confidentiality, at all, times 
  • Flexible to departmental and client changes



  • 2-3 years, experience in Medicare or Medicaid and Insurance collection
  • Strong computer skills in medical billing systems 
  • Ability to work well in a team environment 
  • Strong communication skills 
  • Working knowledge of EPIC a plus 
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