Step into a meaningful role at Logan Regional Medical Center, a 132-bed facility located in southern West Virginia.
Logan Regional is an award-winning, full-service community hospital with a history of innovation, from its one-of-a-kind Rural General Surgery residency program to its collaboration with Marshall Health Network to bring more opportunities for specialty care to the area.
Logan Regional has earned the prestigious "A" grade from The Leapfrog Group, inclusion in Becker's listing of Excellent Community Hospitals, Forbes Inaugural Top Hospitals list, and Best-in-State hospital status from Newsweek/Statista.
Consider growing your career at Logan Regional, which offers an ideal combination of high standards of care in a small, caring community.Job SummaryThe AR Specialist II independently manages insurance and patient follow-up for physician billing, including denial resolution, payment reconciliation, and financial documentation.
This role requires prior billing experience and proficiency in identifying and resolving payer-related issues.Essential FunctionsAnalyze insurance denials and rejections; initiate and process appeals as appropriateTroubleshoot account issues,
including demographic discrepancies and authorization concernsProcess and reconcile refund requests and banking depositsReview and interpret explanation of benefits (EOBs) for accurate payment postingCollaborate with accounting and management to resolve complex account issuesMaintain accurate documentation and perform claim resubmissions as neededKnowledge, Skills, and AbilitiesAdvanced knowledge of insurance denial management and resolution processesAbility to identify trends and report recurring issuesProficient in EMR systems and knowledgeable in HIPAA compliance requirementsStrong analytical, communication, and collaboration skills
EducationHigh School Diploma or equivalent requiredEquivalent includes completion of secondary education or demonstrated ability to perform the essential functions of the roleLicenses/CertificationsNone required upon hire ExperienceMinimum of three (3) years of physician billing experience requiredMinimum of three (3) years of experience with Rural Health Clinic (RHC) or Provider-Based Billing preferred