Accounts Receivable

• 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

Explore AR Specialist at Capitol Imaging Services. Review requirements and application details.