[Hiring] Medical Billing & A/R Specialist @Agent

Role Description

We are looking for a dependable and proactive Medical Billing & A/R Specialist to support our healthcare revenue cycle operations. This role will focus on:

• Insurance billing
• Accounts receivable (A/R)
• Claims follow-up
• Collections
• Denials
• Appeals
• Resolving outstanding accounts

The ideal candidate will have experience with the U.S. healthcare insurance system and understand the revenue cycle process from claim submission through payment and resolution. Experience in outpatient physical therapy is strongly preferred, but candidates with solid healthcare revenue cycle experience who are willing to learn the specifics of physical therapy billing are encouraged to apply. While familiarity with specific software is helpful, we value dependability, work ethic, accountability, initiative, and ownership above software mastery. Training will be provided on our systems and workflows.

Responsibilities

• Insurance Billing & Claims
  • Prepare, submit, review, and track insurance claims for timely and accurate reimbursement.
  • Manage approximately 1,200–1,300 insurance claims per month as part of the billing team, with volume expected to grow.
  • Monitor claim status and follow up with insurance payers on outstanding claims.
  • Identify and resolve claim issues, discrepancies, and unpaid balances.
  • Prepare and submit corrected claims and insurance appeals when needed.
  • Work directly with insurance companies and use payer portals to verify claim status, eligibility, benefits, and other account information.
  • Handle insurance correspondence and document relevant payer communications.
• Accounts Receivable & Collections
  • Manage assigned A/R accounts and take ownership of each account through resolution.
  • Follow up consistently on unresolved accounts and outstanding balances.
  • Maintain accurate documentation of the last action taken, next action required, and follow-up date for unresolved accounts.
  • Investigate payment discrepancies, denials, underpayments, and other reimbursement issues.
  • Assist with patient accounts receivable, including balance billing and patient balance follow-up.
  • Ensure unresolved accounts are actively worked and do not fall through the cracks.
• Insurance Verification & Authorization
  • Perform insurance eligibility and benefits verification.
  • Maintain a working knowledge of U.S. healthcare insurance verification processes.
  • Assist with insurance authorization processes and ensure required authorizations are properly tracked.
  • Identify potential authorization or eligibility issues that may affect reimbursement.
• Revenue Cycle Support
  • Handle secondary insurance claims and coordinate benefits when applicable.
  • Assist with workers' compensation claims and related billing processes.
  • Maintain accurate records of claims, payments, account status, and follow-up activity.
  • Work closely with the existing billing team to divide responsibilities based on experience and strengths.
  • Help improve and organize billing workflows and processes.
  • Support process improvements and administrative tasks related to the practice's revenue cycle.

Qualifications

• Healthcare revenue cycle experience is required.
• Experience with U.S. healthcare insurance, medical billing, claims, and accounts receivable.
• Experience with claim follow-up, A/R management, collections, denials, and insurance correspondence.
• Experience preparing corrected claims and/or appeals.
• Working knowledge of U.S. healthcare insurance verification and authorization processes.
• Experience with patient accounts receivable and balance billing.
• Physical therapy or outpatient healthcare experience is strongly preferred.
• Experience handling secondary claims and/or workers' compensation claims is a plus.
• Familiarity with PROMPT EMR is a plus but not required.
• Strong written and verbal English communication skills.
• Strong attention to detail and organizational skills.
• Comfortable working independently and managing multiple accounts.
• Able to take ownership of assigned accounts and follow them through to resolution.
• Proactive and willing to take action rather than simply identify an issue and hand it off.
• Comfortable asking questions and seeking clarification when needed.
• Must be dependable and consistent in following up on outstanding accounts.