Job Details

Accounts Receivable Claims Specialist - Medical Practice December 10, 2024

14350337

Located in Sarasota, FL

Pay: $23-25 DOE

Job Full Description

Accounts Receivable Claims Specialist - Medical Practice  
**Location:** Sarasota, Florida  
**Compensation:** $23–$25 per hour  

**Job Summary:**  
A specialized medical practice in Sarasota is seeking an experienced **Accounts Receivable Claims Specialist**. This role is focused on managing insurance claims for denied or short-paid accounts, without any coding responsibilities. We’re looking for a diligent, professional, and assertive candidate who can effectively communicate with insurance companies to secure accurate payments. The ideal candidate understands insurance processes, medical codes, and appeals procedures, and can confidently advocate for claim resolutions in a respectful and professional manner.

**Key Responsibilities:**  
- Review and analyze insurance claims that have been denied or partially paid.
- Contact insurance companies to resolve discrepancies by phone and written communication.
- Submit appeals on denied or short-paid claims with supporting documentation.
- Monitor claim statuses and follow up to ensure timely resolution.
- Work collaboratively with the internal billing team to improve processes.

**Qualifications:**  
- Prior experience in medical billing, AR claims processing, or a similar role.
- Strong understanding of insurance policies, EOBs, and medical billing codes.
- Excellent communication skills with a confident, professional, and persistent approach.
- Ability to handle challenging conversations with insurance representatives tactfully.
- High attention to detail and commitment to thorough follow-up.

Sarasota, FL
3094
965 University Parkway
Suite 103
Sarasota, FL 34234

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