Accounts Receivable Billing Specialist

The Accounts Receivable Billing Specialist is responsible for ensuring accurate and timely billing, payment posting, and follow-up on outstanding claims to optimize revenue collection. This role works closely with payers, patients, and internal teams to resolve billing issues, reduce denials, and maintain compliance with payer and regulatory requirements. 

The AR Billing Specialist monitors aging accounts, investigates underpayments or non-payments, submits appeals and corrected claims as needed, and ensures all documentation supports reimbursement. Attention to detail, strong analytical skills, and effective communication are essential to success in this role. 

Essential Duties and Responsibilities: 

• Contact insurance carriers through website, email or telephone to resolve outstanding accounts 

• Analyze and resolve moderately complex insurance denials 

• Appeal and/or resubmit unresolved invoices to insurance carriers 

• Research and respond to insurance correspondence 

• Update registration information, post denial codes and adjustments in practice management systems 

• Research and obtain required documents to resolve misdirected payment issues 

• May provide internal coverage for Customer Service calls 

• Others may be assigned. 

Required Skills and Abilities: 

• Excellent problem-solving skills 

• Detail oriented and organized 

• Able to multi-task and work quickly, with constantly changing circumstances and priorities 

• Ability to establish and maintain effective working relationships with patients, management, employees, and the public. 

• Demonstrated ability to read and interpret EOB’s (Explanation of Benefits) and insurance contractual adjustments 

• Strong computer skills 

• Able to prioritize assignments and work under minimal supervision 

• Ability to handle a high volume of work with speed and accuracy 

• Proven ability in collections and negotiation 

• High school diploma or equivalent  

• Minimum of 2 years of experience in a fast-paced medical billing environment 

• Experience in a health care setting required  

• Experience working unpaid claims and denials 

• Proficiency in MS Office 

• Familiarity with CPT and ICD-10 required; CPC certification preferred 

Physical Requirements: 

• Prolonged periods of sitting and/or being stationary at a desk.  

• Consistently uses computers and relays information via email, messaging and phone. 

• Must communicate with others and exchange information frequently and on an on-going basis. 

• Must be able to lift/move up to 15 lbs.  

GCP is an equal opportunity employer and does not discriminate in employment on account of race, color, religion, sex, gender, pregnancy, national origin, age, marital or familial status, sexual orientation, gender identity, disability, medical condition, veteran status, genetic information, ancestry, or any other basis protected under federal, state, or local law