AR Specialist II

The A/R Follow-Up Specialist is responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable. The role manages claim status checks, denials, appeals, and payer communication to ensure accurate reimbursement and timely resolution.

Responsibilities

• Access and navigate payer websites and portals to verify eligibility, authorization, and claim status.
• Update patient demographics and insurance information in appropriate systems.
• Research and resolve unpaid or denied claims, including missing information, authorization, and control numbers (ICN/DCN).
• Review EOBs for adjustments and process corrections to resolve claims.
• Contact insurance payers via phone or written correspondence to secure payment of claims.
• Research and respond to payer requests for additional documentation.
• Verify accuracy of underpayments using contracts and claims data.
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