We are seeking a detail-oriented and experienced Accounts Receivable Specialist to join our team, specializing in Workers’ Compensation (WC) and Personal Injury (PI) claims. This role is crucial in ensuring accurate and timely billing, maintaining compliance with state and federal regulations, and supporting the financial health of the organization. If you're passionate about billing, thrive in a fast-paced environment, and enjoy working collaboratively, we’d love to hear from you!

Key Responsibilities:

• Manage end-to-end WC and PI claims, including claim submissions, follow-ups with carriers and adjusters, and initiating appeals with complete documentation.

• Review and update billing demographics, resolve payment discrepancies, and ensure accurate maintenance of patient and case records.

• Identify, track, and report billing trends and issues to management for continuous process improvement.

• Handle administrative tasks such as scanning documents, processing medical records, and supporting claims-related functions.

• Perform full-cycle billing operations including charge entry, payment posting, and accounts receivable (A/R) management.

• Stay updated on workers’ compensation billing guidelines and ensure consistent regulatory compliance.

Required Skills & Qualifications:

• 2+ years of experience in medical billing, specifically in WC and PI.

• Proficiency in medical coding (CPT, ICD-10, Modifiers) and claims management practices.

• Working knowledge of medical terminology, HIPAA regulations, and electronic health record (EHR) systems.

• Strong attention to detail with excellent data entry accuracy and problem-solving skills.

• Exceptional communication skills, both written and verbal, with strong phone etiquette.

• Ability to work independently, manage multiple tasks, and meet deadlines in a dynamic environment.

• Preferred: Familiarity with Orthopedic and Pain Management coding, and proficiency in Microsoft Office and Excel.