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Reimbursment Accounts Receivable (A/R) Specialist

Langhorne, PA

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Reimbursement or Accounts Receivable Specialist 

Fast growing and employee friendly, with an exciting opportunity for a Reimbursement Associate in our new Langhorne location. We are seeking a candidate who wants to work in a friendly and safe office environment. The primary responsibilities of this position includes the accurate and timely submission and resolution of claims from variety of payers.

Reimbursement or Accounts Receivable Specialist Essential Duties and Responsibilities:

  • Prepares documentations and processes computer input of patient accounts to ensure timely follow-up.
  • Reviews diagnosis, procedure codes, and charges for accuracy and obtains from appropriate department when necessary.
  • Verifies patient eligibility using appropriate systems, and checks system for possible overlap claims.
  • Requests additional insurance information and assignments from patients.
  • Copies appropriate insurance information to submit with billing.
  • Updates insurance information and Financial Class.
  • Processes and submits claims to the appropriate intermediary to ensure accurate and prompt reimbursement of charges.
  • Sends all necessary information and documents to payer.
  • Processes complete and timely claim follow-up as required to ensure claims are adjudicated in shortest amount of time, 14 business days.
  • Responsible for electronic error/reject reports worked accurately each day.
  • Completes weekly explanation of Aged A/R.
  • Performs other duties as necessary to assist in the functioning of the department.

Job Requirements

Reimbursement or Accounts Receivable Specialist 

Skills & Requirements / Qualifications: The requirements listed below are representative of the knowledge, skill, and/or ability required including computer skills/level.

  • Ability to work independently.
  • Ability to exercise judgment and make decisions.
  • Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff.
  • Ability to perform in a high productivity, fast-paced environment.
  • Ability to document accurately and concisely.
  • Excellent phone and computer skills.
  • Ability to maintain sensitive information in confidence
  • Ability to meet deadlines and prioritize diverse responsibilities.
  • Proficient in Microsoft applications including but not limited to Outlook, Word, Excel
  • Organized and detail-oriented

Education & Experience Requirements:

  • High school diploma or GED required.
  • Two years of college or equivalent work experience preferred.
  • Two years of recent healthcare accounts receivable responsibility.
  • Thorough knowledge of all private insurance rules and regulations as it relates to claims submission.
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