Description
: The Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. This role ensures proper reimbursement by preparing, submitting, and monitoring claims, and resolving outstanding account balances. The AR Specialist serves as a representative between the hospital, payers, and other internal departments to promote efficient claims resolution and compliance with federal, state, and payer-specific regulations.What You’ll Do:
Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct assignment of revenue codes, modifiers, and service lines
Perform account follow-up on outstanding facility balances, securing reimbursement in compliance with hospital policies, government ...
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