Medical AR Collections Representative Job at Robert Half (McKinney)

Job Description

We are seeking a detail-oriented Medical AR Collections Representative to manage a high volume of medical insurance denials and follow up with payers to secure timely reimbursement. This role is responsible for researching denied claims, resolving billing issues, appealing denials, and working directly with insurance companies to ensure accurate and prompt payment.

Job Responsibility

Review, analyze, and work a high volume of denied medical claims from commercial, government, and managed care payers
Contact insurance companies by phone, portal, or written correspondence to resolve claim denials, underpayments, and payment delays
Investigate denial reasons and determine appropriate corrective action, including rebilling, resubmission, and appeal preparation
Prepare and submit timely, accurate appeals with all required supporting documentation
Verify claim status, eligibility, authorization, coding, and billing accuracy to identify root causes of denials
Work closely with billing, coding, payment posting, and revenue cycle teams to resolve account issues and prevent future denials
Document all account activity, follow-up efforts, and resolution details in the billing system
Maintain productivity and quality standards while managing aging accounts receivable and prioritizing high-dollar or timely filing accounts
Identify denial trends and escalate recurring payer issues to leadership as needed
Ensure compliance with HIPAA, payer regulations, and internal policies when handling patient and claim information

Requirements

2+ years of experience in medical collections, healthcare accounts receivable, or denial management
Strong knowledge of insurance claim follow-up, EOBs, remittances, appeals, and payer denial processes
Experience working with Medicare, Medicaid, and commercial insurance carriers
Familiarity with medical billing, CPT, ICD-10, and HCPCS codes preferred
Ability to handle a high-volume workload in a fast-paced revenue cycle environment
Strong communication, problem-solving, and negotiation skills
Proficiency with EMR/EHR systems, billing platforms, and payer portals
High attention to detail and strong organizational skills

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

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