Insurance AR Specialist

4 days ago


Salem, Oregon, United States Salem Health Hospitals and Clinics Full time
About the Role

Salem Health Hospitals and Clinics is seeking a highly skilled Insurance AR Specialist to join our team. As a key member of our Professional Billing department, you will play a critical role in ensuring timely and accurate reimbursement from payers.

Key Responsibilities
  • Resolve moderate to complex claim errors prior to submission to payers, ensuring timely and accurate submission to maximize reimbursement.
  • Work moderate to complex denials in a timely and detail-oriented fashion, ensuring timely and accurate submission to maximize reimbursement.
  • Utilize advanced industry knowledge and problem-solving skills to identify and analyze variances between expected reimbursement and actual reimbursement from payers.
  • Communicate directly with payers to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement.
  • Work with leadership to identify and analyze trends, address root causes of issues in both claim edits and denials, and help pinpoint strategies for reducing AR.
  • Maintain a thorough understanding of federal and state regulations, as well as, specific payer requirements and explanations of benefits, in order to identify and report billing compliance issues and payer discrepancies.
Total Rewards Offerings
  • Relocation assistance available for qualified positions.
  • Full comprehensive medical, dental, and vision plans.
  • Basic and voluntary life insurance.
  • Short and long-term disability.
  • Live Well Wellness Program.
  • Employee Assistance Program (EAP).
  • 401(K) retirement plan with employer contributions.
  • Generous paid time off (PTO) accrual and holiday pay.
  • Onsite fitness center with 24/7 badge access.
  • Education assistance program.
  • Public service loan forgiveness (PSLF) eligible employer.
  • Food and drink discounts in the cafeteria.
  • Impressive discounts offered by Nike, Adidas, Carhartt and others.
Background/Expertise
  • High school diploma or equivalent required.
  • Minimum of three (3) years of relevant experience in medical or professional billing required.
  • EPIC Resolute experience preferred.
  • CRCR Preferred.
  • Knowledge of EOBs, insurance payers, ICD-9, ICD-10 and CPT codes.
  • Moderate computer/math skills; moderate knowledge of business/office machines.
  • Possess excellent clerical, organizational, record-keeping and customer service skills.
  • Proficient in typing and 10-key.
  • Moderate knowledge of Revenue Cycle.


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