Summary
ScionHealth is a healthcare organization that empowers caregivers and emphasizes patient care, teamwork, courage, and curiosity. The AR Specialist II independently manages insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, financial documentation, and payer-related issue resolution.
Responsibilities
- Analyze insurance denials and rejections and process appeals as needed
- Troubleshoot account issues, including demographic discrepancies and authorization concerns
- Process and reconcile refund requests and banking deposits
- Review and interpret EOBs for proper payment posting
- Collaborate with accounting and management to resolve issues
- Maintain documentation and perform claim resubmissions
Skills
- Advanced knowledge of insurance denial management
- Ability to trend and report recurring issues
- Skilled in EMR navigation and HIPAA compliance
- Strong analytical, communication, and collaboration skills
- High school diploma or equivalent
- None required
- Minimum of 3 years of physician billing experience
- Experience with Rural Health Clinic or Provider-Based Billing preferred but not required
Qualifications
Must Haves
- Advanced knowledge of insurance denial management
- Ability to trend and report recurring issues
- Skilled in EMR navigation and HIPAA compliance
- Strong analytical, communication, and collaboration skills
- High school diploma or equivalent
- None required
- Minimum of 3 years of physician billing experience
Nice to Haves
- Experience with Rural Health Clinic or Provider-Based Billing preferred but not required