Insurance & Patient AR Specialist

The Insurance & Patient AR Specialist is responsible for managing medical accounts receivable collections for a physician medical group. This role follows up on claim denials, resolves billing issues, responds to patient and clinic staff inquiries, and helps keep accounts receivable current.

The position also supports HealthTexas's mission, vision, values, and culture through professionalism, integrity, compassion, synergy, and stewardship.

Key Responsibilities

• Follow up on insurance billing to ensure prompt payment receipt.
• Work with patients and insurance companies to resolve unpaid balances.
• Address patient billing inquiries and initiate adjustment requests when needed.
• Follow up on zero-payment explanations of benefits to pursue claim payment.
• Review assigned accounts monthly and correct inconsistencies or errors.
• Research billing issues and coordinate resolution with relevant parties.
• Initiate payer or patient refund requests for validated overpayments.
• Initiate debt write-off requests according to policy and regulatory guidelines.
• Perform other duties as assigned.

Work Environment

• Office-based role using standard office equipment.
• Monday through Friday, 8:00 a.m. to 5:00 p.m., with additional time as needed to complete projects.
• Travel to medical offices may be required for benefit education.