[Hiring] Billing AR Specialist REMOTE
Position: Billing AR Specialist
Date posted: 2025-03-02
Industry: other
Employment type: Full Time
Experience: 2 to 3 year
Qualification: High School Diploma or equivalent.
Location: United States, REMOTE
Company: Baylor Genetics
Description:
Hiring Billing AR Specialist
United States
Summary
The Billing Specialist AR will be responsible for monitoring claims and payer responses and taking action to ensure appropriate payment of claims, adjustments, or invoices to patients.
Qualifications
Education:
- High School Diploma or equivalent.
- BA in Business preferred.
Experience
- 3-5 years in revenue cycle management for healthcare provider.
- Specific experience with laboratory RCM a plus.
- Experience with all payer groups and plans.
- Knowledge of CPT, HCPCS, ICD-10 and payer claim requirements.
Duties & Responsibilities
- Review claim responses from payers including denials and taking appropriate next steps.
- Prepare appeal packets utilizing patient medical records and documentation supporting medical necessity.
- Follow up with payers for claim status.
- Utilize RCM software and payer websites to identify claim status.
- Prepare and submit medical records to payers as required.
- Provide regular reporting to RCM leadership.
- Prepare and follow up on appeals to payers as necessary.
- Adheres to Code of Conduct as outlined in the Baylor Genetics Compliance Program
- Performs other job-related duties as assigned.
Physical Demands & Work Environment
- Frequently required to sit.
- Frequently required to stand.
- Frequently required to utilize hand and finger dexterity.
- Frequently required to talk or hear.
- Frequently required to utilize visual acuity to operate equipment, read technical information, and/or use a keyboard.
- Occasionally exposed to bloodborne and airborne pathogens or infectious materials.
The above is intended to describe the general content and requirements for this job’s performance. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Baylor Genetics is proud to be an equal opportunity employer dedicated to building an inclusive and diverse workforce. We do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, gender identity, veteran status, disability, genetic information, pregnancy, childbirth, or related medical conditions, or any other status protected under applicable federal, state, or local law.
