Hospital A/R Specialist - EHS Patient Accounts - Full Time

The Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. This role ensures proper reimbursement by preparing, submitting, and monitoring claims, and resolving outstanding account balances. The AR Specialist serves as a representative between the hospital, payers, and other internal departments to promote efficient claims resolution and compliance with federal, state, and payer-specific regulations.

 What You’ll Do:

• Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct assignment of revenue codes, modifiers, and service lines

• Perform account follow-up on outstanding facility balances, securing reimbursement in compliance with hospital policies, government regulations, and payer-specific billing rules (e.g., DRG, APC, OPPS methodologies)

• Assist Denial and Payment Variance teams by researching, analyzing, and resolving technical, clinical, and administrative denials specific to hospital claims, escalating complex issues when necessary

• Collaborate with coding, revenue integrity, patient access, and clinical departments to resolve charge capture, documentation, or registration issues that impact claim accuracy

• And more.

Who You Are:

• High School Diploma or GED required and/or equivalent experience of 2+ years in billing experience, Required

Why You’ll Love Us:

• Health, dental, prescription, and vision coverage for full-time & part-time employees

• Short term, long term disability, Accident insurance, & life insurance

• Tuition Reimbursement

• Referral bonuses

• Accrued earned time for full-time & part-time employees

• 403b Retirement plans, with generous employer contributions

• And more!