Accounts Receivable Escalation Specialist

Job Summary:

• The Accounts Receivables Escalation Specialist analyzes collections, resolves non-payables, and handles bill inquiries for complex issues.
• They are responsible for insurance payer follow-up ensuring claims are paid according to client contracts.
• They comply with all applicable laws regarding billing standards.

Essential Functions:

• Follow up on claim rejections and denials to ensure appropriate reimbursement.
• Process assigned AR work lists in a timely manner and write appeals using established guidelines.
• Communicate with insurance companies about the status of outstanding claims.

Qualifications:

• High School Diploma or GED; at least one year in data entry and medical billing preferred.
• Intermediate knowledge of medical billing rules, such as coordination of benefits and modifiers.
• Strong time management, organizational, and communication skills.