Job Description
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The AR / Billing & Insurance Specialist is responsible for ensuring timely and accurate insurance reimbursement for a medical clinic. This role requires a strong medical billing and insurance background, with hands‑on experience managing the full insurance follow‑up process to secure payment for clinical services rendered.
Key Responsibilities:- Prepare, submit, and resubmit medical insurance claims.
- Monitor accounts receivable (AR) and follow up on unpaid or delayed claims.
- Communicate directly with insurance payers to resolve claim issues, including claim rejections.
- Submit appeals and supporting documentation (medical records, authorizations, corrected claims).
- Correct billing errors related to CPT, ICD-10, or modifiers and resubmit claims.
- Track AR aging (30/60/90+ days) and prioritize follow‑up accordingly.
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