What are the responsibilities and job description for the Bilingual Accounts Receivable Specialist position at LA Inc?
Job Overview
We are looking for a bilingual (English/Spanish) Accounts Receivable Specialist to join our team. This role centers on managing insurance claims and appeals, with a strong emphasis on resolving denials, analyzing explanations of benefits (EOBs), and navigating the claim lifecycle. The ideal candidate has deep experience with claims processes and the ability to fluently communicate in both English and Spanish.
Pay: $23 to $27 an hour (based on experience)
Location: Plymouth Meeting
Key Responsibilities:
- Review and analyze EOBs to address denials and ensure timely resolution of claims.
- Prepare detailed and accurate appeal responses for issues such as generic denial codes or incorrect service locations.
- Follow up with insurance payers to address outstanding balances and verify compliance with their requirements.
- Work within electronic medical record (EMR) and billing systems to retrieve and submit necessary documentation for claims processing.
- Monitor trends in payer denials or payment changes and escalate issues to the appropriate teams.
- Maintain clear, concise, and accurate documentation of all claim-related activities.
- Engage with insurance providers and internal teams professionally, switching seamlessly between English and Spanish when needed.
Required Skills & Experience:
- Fluent in both English and Spanish (written and verbal).
- 2–3 years of experience in medical billing or accounts receivable, with a focus on claims and denials.
- Comprehensive knowledge of insurance payer guidelines, codes, and billing regulations.
- Ability to thoroughly analyze and interpret denial codes and EOBs.
- Proficiency with Microsoft Office Suite (Excel, Word, Outlook, Teams) and PDF software.
- Strong organizational skills and attention to detail, with the ability to manage multiple tasks effectively.
- Clear and professional communication skills, including phone and written correspondence.
- Ability to work independently while maintaining strict confidentiality.
Preferred Experience:
- Experience addressing denial issues, including incorrect service locations or non-specific denial codes.
- Strong background in claims lifecycle management within an AR-focused environment.
Job Type: Full-time
Pay: $23.00 - $27.00 per hour
Schedule:
- 8 hour shift
Work Location: In person
Salary : $23 - $27
