Demo

Medical AR Specialist - Hybrid

Pathology Billing Services
Phoenix, AZ Full Time
POSTED ON 3/29/2025
AVAILABLE BEFORE 6/26/2025

This position is in office Mon- Fri 7:00 am - 4:30 pm (Hybrid opportunity after 90 days) 

Located in North Phoenix - 1929 W Lone Cactus Dr., Phoenix, AZ 85027

MUST HAVE EXPERIENCE WITH DENIALS AND APPEALS. 

JOB SUMMARY:

The Medical AR Specialist provides comprehensive advanced collection activity support to Pathology Billing Services, LLC, to enhance the liquidation of the accounts receivables.  All employees are responsible for supporting the company’s goals and mission, by following all company policies and procedures. 

ESSENTIAL FUNCTIONS:

  1. Act as coordinator for resolving outstanding receivables on whole or partial balance accounts as assigned for AHCCCS and Medicare receivable.
  2. Maintain updated knowledge of the group’s contractual agreements and report any discrepancies in payors reimbursement patterns to the Billing Manager in writing.
  3. Facilitate communication between PBS, LLC and patient clientele.
  4. Assist management with special projects and tasks as requested.
  5. Monitor payment activity and contractual adjustments posted to patient accounts.  Initiate corrections, if posting of inaccurate transactions are determined.
  6. Obtain status and secure payment on all accounts greater than 45 days aged.
  7. Accounts less than 45 days will be monitored and appealed if payer has acknowledged or assigned.
  8. Maintain spreadsheets and documents for payer reimbursement as required.
  9. Follow-up with payors regarding reimbursement claims in the following interval and status or as defined by management:
    1. Claims that have received denials for erroneous reasons; follow-up initiated and completed within 10 business days or receipt of notification.
    2. Claims that require additional documentation; follow-up initiated and completed within 10 business days or receipt of notification.
    3. Claims that have not been acknowledged; follow-up initiated and completed within 10 business days after receipt.
  10. Initiate first and second level appeal, grievances, reconsiderations, redeterminations, and all categories of disputes required to secure reimbursement.
  11. Manage the hearing process from request to mediation.
  12. Initiate the process of filtering unpaid patient balanced accounts for outside agency.  Completing thorough and accurate assessment that there is not a responsible third party, patient has been properly notified and efforts to locate payment have been exhausted. 
  13. Maintain updated knowledge of provider manuals and billing guidelines.
  14. Report any inconsistencies in payer activity, workflows or software to the Billing Manager in writing.
  15. Assist and resolve all patient inquires through incoming calls.
  16. Maintain minimum average monthly of 1675 patient accounts.

ADDITIONAL FUNCTIONS:

  1. Assist with billing duties as needed.
  2. Meet assigned deadlines and communicate status with management.
  3. Assist with mailing of claims and correspondence as needed.
  4. Complete status reports daily or as instructed.
  5. Assist with special projects as needed.
  6. Notify billing manager of any inconsistencies, changes, or errors with payor activity. 
  7. All other duties as assigned.

MINIMUM QUALIFICATIONS:

  • One to Five years of advanced billing support experience in a corporate setting. 
  • AHCCCS and Medicare Payor experience required 
  • Knowledge of business software including word processing, spreadsheets, and application presentations. 
  • Exceptional verbal and written communication skills to be utilized in interfacing with all levels of management. 
  • Excellent organizational skills and ability to manage multiple and diverse priorities simultaneously, meeting deadlines as required. 
  • Ability to handle highly confidential information. 
  • Ability to exercise independent judgment. 
  • Knowledge of standard office equipment. 
  • Ability to lift a minimum of 35 pounds and sit for long periods of time.

Benefits:

Clin-Path Associates offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), dental insurance (100% covered by the company) vision insurance, paid time off, retirement contributions (401k), & flexible spending account (FSA).

Salary : $20 - $23

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Medical AR Specialist - Hybrid?

Sign up to receive alerts about other jobs on the Medical AR Specialist - Hybrid career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$42,871 - $52,898
Income Estimation: 
$61,395 - $78,649
Income Estimation: 
$42,871 - $52,898
Income Estimation: 
$61,395 - $78,649
Income Estimation: 
$61,395 - $78,649
Income Estimation: 
$83,875 - $113,485
Income Estimation: 
$37,814 - $46,552
Income Estimation: 
$42,871 - $52,898
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Not the job you're looking for? Here are some other Medical AR Specialist - Hybrid jobs in the Phoenix, AZ area that may be a better fit.

Medical AR Specialist

LHH Recruitment Solutions, Phoenix, AZ

Medical Billing AR Specialist

Crossroads Inc, Phoenix, AZ

AI Assistant is available now!

Feel free to start your new journey!