AR Specialist

Pain Specialists of America

. Review and research claims denials and contact payers to verify detailed denial reasons when necessary .

Posted 10/13/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing and collections, with a strong understanding of insurance policies, claims processing, and adherence to HIPAA regulations. Proficient in utilizing eClinicalWorks and HST for efficient claims management and denial resolution.

Highest-signal resume keywords

Medical Billing ExperienceEClinicalWorks ProficiencyICD-10/CPT KnowledgeKnowledge of Medicare and MedicaidStrong Problem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Denial ReviewPayment PostingReconsiderations and Appeals10 Key AccuracyInsurance Policy NavigationPayer Medical Reimbursement PoliciesAged AR EDI TransactionsDocumentation PreparationTimely Filing GuidelinesDiscrepancy Resolution

Soft Skills

Excellent Time ManagementOrganizational SkillsAbility to Prioritize WorkloadStrong Interpersonal SkillsCritical Thinking Skills

Tools & Technologies

EClinicalWorksHSTPayer WebsitesMedical EOBs

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HIPAA ComplianceMedicaid MCOsCommercial InsuranceClaims FilingInsurance Information Verification

About the role

Key responsibilities & impact

Review and research claims denials and contact payers to verify detailed denial reasons when necessary
Contact patients to obtain accurate insurance information
Prepare documentation and file reconsiderations and appeals as appropriate
Identify and communicate denial/rejection trends to management
Identify and resolve discrepancies
Navigate and research insurance policies and benefits for policy exclusions
Navigate and research payer medical reimbursement policies and exclusions
Review and work all daily correspondence received from patients and payers
Understand and act on timely filing guidelines associated with claims filing, reconsiderations, and appeals for assigned payers
Review accounts for accuracy, including payments and adjustments
Work with medical EOBs, patient deductibles and copays, and insurance or third-party correspondence
Work with payer websites
Work aged AR EDI transactions and troubleshoot issues
Perform other assigned duties

Requirements

What you’ll need

eClinicalWorks experience is preferred
HST experience is strongly preferred
Minimum of 2-4 years of medical billing, collections, and/or payment posting experience
High school diploma or GED
Excellent time management and organizational skills
Computer literacy
Ability to prioritize workload
10 Key accuracy and proficiency
Ability to work independently and adapt to a fast-changing environment
Knowledge of Medicare, Medicaid, Medicaid MCO’s, and commercial insurance
Strong problem-solving and critical thinking skills
Strong interpersonal and communications skills
ICD-10/CPT knowledge
Adherence to all HIPAA guidelines/regulations

Benefits

Comp & perks

Fully remote work arrangement