AR Claim Status Specialist
Core
Manage insurance claims from submission through resolution, investigating unpaid/denied claims and ensuring accurate patient account balances.
Role type
Accounts Receivable Claims Specialist
Builds
Clean-claim performance and collection revenue for chiropractic healthcare providers
Domain
Healthcare billing and revenue cycle management
Required skills
Insurance claim submission, denial/appeals processing, EOB review, payer portal navigation, A/R aging analysis, claim investigation, billing system management
Preferred skills
Medical billing experience, insurance collections, Platinum Patient Accounting Software, Waystar platform
Responsibilities
Submit and correct electronic insurance claims; follow up on unpaid/denied claims via phone, portal, and mail; prepare appeals and reconsiderations; investigate outstanding A/R balances; review A/R reports for aging claims; document claim activity in billing systems; escalate complex payer issues; identify denial trends to improve collection performance.
Seniority
Individual Contributor, mid-level specialist