Job Description
Physician and Tactical Healthcare Services, LLC (PATHS) seeks a Medical AR Follow Up/Revenue Cycle Representative to support timely and accurate reimbursement for our mission-driven, physician-led organization. In this role, you will manage insurance accounts receivable, resolve denials, and perform detailed claim follow up for primary, specialty, and telehealth services. Responsibilities include working aging reports, researching unpaid or underpaid claims, submitting appeals and corrected claims, and communicating with payers, patients, and care teams. You will ensure compliant, complete documentation, support process improvements, and help optimize revenue cycle performance for rural and underserved communities.
Responsibilities
- Manage insurance accounts receivable and pursue timely claim resolution
- Research and resolve denied, unpaid, or underpaid claims
- Submit appeals and corrected claims following payer guidelines
- Verify patient insurance coverage and update billing records
- Reconcile payments, adjustments, and refunds in the billing system
- Communicate with payers, patients, and internal clinical teams regarding billing issues
- Maintain accurate documentation of follow-up activities and claim status
- Monitor aging reports and prioritize high-risk or high-balance accounts
- Ensure compliance with HIPAA and payer regulations
- Contribute to process improvements in the revenue cycle workflow
Required Skills
- Medical billing and coding fundamentals
- Accounts receivable follow-up
- Insurance verification and eligibility
- Denial management and appeals
- Knowledge of CPT, ICD-10, and HCPCS codes
- Electronic health record (EHR) and practice management systems
- Excel and basic data reporting
- Understanding of payer policies and reimbursement rules
- Payment posting and reconciliation
- HIPAA compliance and privacy practices