AR Insurance Collector

About This Role

This role is for an experienced AR Insurance Collector who will ensure insurance claims are followed through end to end—reviewed, corrected, appealed when needed, and resolved accurately to protect the financial health of physician practices.

Responsibilities

• Follow up on unpaid and underpaid insurance claims within standard billing timelines.
• Review insurance payments for accuracy and compliance with contract terms.
• Identify discrepancies and work directly with payers to resolve payment issues.
• Research and bill secondary and tertiary insurance when applicable.
• Investigate denied claims, review codes, and identify root causes.
• Prepare and submit appeals with supporting documentation.
• Track outcomes and ensure claims move toward resolution.
• Review accounts for appropriate insurance or patient follow-up.
• Communicate professionally with insurance companies to resolve issues efficiently.
• Support patient inquiries related to insurance claims and payments with clarity and empathy.
• Maintain detailed documentation and notes in billing systems.

Requirements

• 3+ years of experience in medical insurance collections and denials
• Strong knowledge of HMO/PPO plans, Medicare, Medicaid, and payer requirements
• Experience reviewing EOBs and identifying payment discrepancies
• Familiarity with medical billing systems, computer software, and 10-key calculators
• Working knowledge of medical terminology used in claims and explanations of benefits
• Strong communication skills when working with insurance payers and patients
• A collaborative mindset and comfort working in a team environment
• Proven problem-solving skills when researching denials, appeals, and collections issues

Qualifications

• 3+ years of experience in medical insurance collections and denials

Skills

* Required skills