Healthcare Billing and AR Specialist

We are seeking a detail-oriented and proactive Healthcare Billing and AR Specialist to support accurate and efficient billing and accounts receivable operations. In this role, you will manage claim processing, denial resolution, appeals, payer follow-up, and reimbursement recovery to ensure timely and accurate payment while maintaining compliance with payer requirements and industry standards.

Key Responsibilities

• Prepare, review, and submit medical claims (electronic and paper), including CMS-1500 (HCFA) and/or UB-04 (CMS-1450) forms, ensuring accuracy and compliance with payer requirements.
• Ensure accurate claim details, including ICD-10, CPT/HCPCS codes, revenue codes, modifiers, and provider/facility information.
• Review and resolve denied, rejected, unpaid, or underpaid claims through claim corrections, resubmissions, appeals, and payer follow-up.
• Manage accounts receivable activities, includi...