AR Specialist

Capitol Imaging Services

. Partner with external billing vendors to address claim rejections and payer requests for clarification .

Posted 10/17/2026full-timeRemote • Louisiana • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing and collections, with a strong focus on Accounts Receivable and Revenue Cycle Management. Proficient in analyzing denial trends and implementing process improvements to enhance payment resolution and compliance.

Highest-signal resume keywords

Medical Billing And CollectionsAccounts Receivable ManagementPractice Management SystemsCPT And ICD-10 CodingAnalytical And Problem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Revenue Cycle ManagementClaim Rejections ResolutionPayment Resolution TacticsAging Reports AnalysisInsurance Payment PostingAccount ReconciliationPayer Guidelines KnowledgeEHR/EMR ProficiencyDocumentation ComplianceFinancial Adjustments Authorization

Soft Skills

Effective CommunicationAttention To DetailCollaborative TeamworkEmpathy In CommunicationSound Judgment

Tools & Technologies

Microsoft ExcelSharePointElectronic Health RecordsPractice Management Systems

Industry Keywords

Healthcare AdministrationMedical TerminologyMedicareMedicaidCommercial Insurance

About the role

Key responsibilities & impact

Partner with external billing vendors to address claim rejections and payer requests for clarification
Provide guidance and feedback to vendor partners on claim corrections, rework, and resubmissions
Review escalated accounts requiring internal oversight or final resolution
Identify denial trends, recurring payer issues, and root causes
Provide feedback and strategic direction on appeal approaches and payment resolution tactics
Authorize final adjustments after appeal opportunities have been exhausted, ensuring documentation and compliance
Recommend process improvements to reduce future denials
Work A/R aging reports for 30, 60, and 90+ day accounts to identify unpaid or underpaid claims
Initiate payer tracers and follow-ups to secure claim adjudication and payment
Monitor high-risk and high-dollar accounts to prevent revenue leakage
Post and reconcile insurance and patient payments accurately
Transfer payments to patient balances when appropriate and process patient refunds in compliance with policy
Assist with account reconciliations and discrepancy resolution
Liaise with patients and insurance payers to resolve billing questions
Explain EOBs, patient responsibility, and out-of-pocket costs
Conduct professional and empathetic phone communication with patients and payer representatives

Requirements

What you’ll need

High School Diploma or equivalent required
Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, or a related field preferred
1–3 years of experience in medical billing and collections, Accounts Receivable or Revenue Cycle Management, or healthcare payer follow-up and denial resolution
Proficiency with Practice Management Systems and Electronic Health Records (EHR/EMR)
Strong working knowledge of Microsoft Office, particularly Excel (reports, aging analysis) and SharePoint
Working knowledge of medical terminology, CPT and ICD-10 coding, and payer guidelines and reimbursement rules for Medicare, Medicaid, and Commercial Insurance plans
Strong analytical and problem-solving skills
Exceptional attention to detail and accuracy
Effective written and verbal communication skills
Ability to work collaboratively with internal teams and external vendor partners
Sound judgment related to financial adjustments and account resolution