Experienced AR Medical Specialist-Honolulu, HI

Location:  Honolulu, HI
Job Type:  Full-Time, In-Office
Department:  Accounts Receivable, Medical Billing
Reports to:  Billing Supervisor or Office Manager

Job Overview:  We are seeking a highly skilled and experienced Accounts Receivable Medical Specialist to join our growing team in Honolulu, HI.  The ideal candidate will have a strong background in medical billing and accounts receivable processes.  This position is based in our office, requiring in-person attendance for daily operations.

Key Responsibilities:
  Medical Billing & Accounts Receivable:  Manage and process medical claims, ensuring accurate and timely submission to insurance companies.
  Insurance Verification & Follow-Up:  Verify Patient insurance coverage and follow up on any outstanding or denied claims.
  Patient Billing:  Work closely with patients to resolve billing issues and answer questions regarding their accounts, providing exceptional customer service.
  Denial Management:  Review and resolve claim denials, including researching coding or billing issues, appealing decisions, and re-submitting claims when necessary.
  Collaboration:  Work Closely with the clinical and administrative teams to ensure smooth billing operations and address any billing-related concerns.
 Compliance & Documentation:  Ensure that all billing practices are compliant with federal regulations, including HIPAA, and maintain accurate documentation of all AR-related activities.

Qualifications:
  Experience:  Minimum 3-5 years of experience in medical billing and accounts receivable, with a focus on general healthcare services.
  Education:  High school diploma or equivalent required.  Certification in medical billing or coding preferred.
  Software Proficiency:  Experience with medical billing software and practice management systems.  Familiarity with EPIC, NextGen, or similar platforms a plus.
 Communication Skills:  Strong verbal and written communication skills, with the ability to interact professionally with insurance companies, patients, and internal teams.
  Detail-Oriented:  High attention to detail and accuracy, with the ability to handle complex billing situations and resolve issues independently.
  Organizational Skills:  Ability to manage multiple tasks, prioritize workloads, and meet deadlines ina a fast-paced environment.
  Customer Service:  Excellent customer service skills, with a patient and solutions-oriented approach to addressing billing inquiries.