Accounts Receivable Clerk at London Approach

We are seeking a detail-oriented and results-driven Accounts Receivable (AR) Specialist to join our team. The AR Specialist is responsible for managing the end-to-end revenue cycle, ensuring the accurate and timely collection of payments from insurance carriers and third parties. This role requires navigating electronic medical records (EMR) and billing systems to resolve denials, submit claims, and optimize reimbursement. Success in this position relies on analytical skills, effective communication, and a strong understanding of payer guidelines.

Location: Conshohocken, PA
Pay: $20 to $25 per hour

Key Responsibilities:

• Claims Management:

  • Review and analyze Explanation of Benefits (EOBs) to ensure proper payment and address discrepancies.
  • Submit required documentation to insurance carriers and third parties to facilitate claims processing.
  • Follow up on unpaid or underpaid claims, ensuring timely resolution and compliance with payer guidelines.

• Denials & Appeals:

  • Investigate claim denials and zero payments, providing necessary documentation or referring claims for correction.
  • Construct and submit appeals based on payer adjudication and reimbursement policies.
  • Identify and escalate payer-specific issues, including denial or rejection trends, to appropriate departments.

• Documentation & Reporting:

  • Maintain clear, accurate, and concise account notes and documentation in the billing system.
  • Communicate with internal teams to ensure alignment on payer-specific requirements and changes.
  • Generate and manage reports related to AR activities, payer performance, and outstanding balances.

• Compliance:

  • Adhere to all governmental, regulatory, and company policies related to billing and AR processes.
  • Ensure all activities comply with HIPAA regulations and maintain confidentiality of patient information.

Qualifications:

• High school diploma or GED equivalent required; additional education in healthcare or finance is a plus.
• 1-2 years of experience in medical collections or accounts receivable within a healthcare setting.
• Intermediate proficiency with Microsoft Office Suite (Outlook, Excel, Word, Teams) and PDF software (e.g., NitroPro).
• Strong understanding of insurance payer rules, regulations, and out-of-network claim processing.
• Ability to analyze and interpret EOBs, insurance denials, and payment discrepancies.
• Excellent multitasking and time management skills in a high-volume environment.
• Strong verbal and written communication skills, including professional phone etiquette.
• Detail-oriented with exceptional organizational and analytical abilities.
• Ability to work independently while contributing as a cooperative team member with a positive attitude.