Medical Insurance AR Specialist Job Opening

Medical Insurance AR Specialist

Legacy Consulting Services LLC

Montgomery, Alabama
Category: Case Manager

Position Summary:

  • The Medical Insurance AR Specialist is a key member and contributor to the success of the Legacy Consulting Services. This “attention to detail” position provides in-depth support for all insurance accounts receivable duties.
  • This position is responsible for working complex insurance claims including rejections, denials and unresolved claims by statusing claims online, calling insurance companies, case managers, adjusters and/or employers.
  • Meeting daily and weekly account goals requires efficient and effective ongoing communications with insurance carriers.
  • Great interpersonal skills and teamwork abilities are required to build rapport with the team members, staff and insurance carriers.


  • Responsible for thorough and exhaustive communications to insurance companies to quickly resolve unpaid Medical claims.
  • Ensures all insurance related duties are completed in a timely and accurate manner to ensure excellent patient relations and financial success for the Practice.
  • Achieves collections goals by effectively managing accounts receivable, prioritizing account reviews and utilizing time management skills.
  • Manages and assists team members as needed with payment and insurance processes
  • Responsible for accurately working Insurance AR accounts and exhausting all efforts when working an account.
  • Performs critical thinking to accurately diagnose account issues and resolve claims timely.
  • Prioritizes daily workload to efficiently work claims based on $ amount and timely filing deadlines.
  • Ensures all claims are working prior to payor timely filing deadlines are hit.
  • Performs root cause analysis across multiple claims issues and various payors to ensure timely resolution for patients.
  • Serves as a liaison between insurance carriers, staff and patients to resolve any concerns.
  • Maintains a positive attitude with co-workers, clients, patients and insurance companies.
  • Facilitate resolution of accounts by working with the Medical office to obtain necessary information in a timely manner
  • Understands Medical terminology, explanation of benefits, Medical billing protocols and coding importance.
  • Exhibits good working knowledge of Excel for reporting, productivity tracking, etc.
  • Treats confidentiality of patient data and client information with utmost importance.
  • Other duties as required.

Qualifications and Education Requirements

  • Minimum of three years’ Medical collections experience. This must include insurance claim submission in a Medical setting.
  • Training/education may be substituted for some of the experience.
  • Experience reading and interpreting Medical EOB's.
  • Demonstrated knowledge of ICD9/ICD10 and CPT codes.
  • Knowledge of PPO, Medicaid and managed care plans.
  • Detail-oriented, independent thinker with critical thinking skills is a must.

Job Type: Full-time


  • Excel: 3 years (Preferred)
  • medical billing and collections: 3 years (Preferred)