Medical Accounts Receivable (AR) & Revenue Cycle Specialist - Gastroen

Benefits:

• 401(k)
• Bonus based on performance
• Competitive salary
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Job Summary:
Digestive & Liver Disease Consultants is seeking an experienced Senior Medical Accounts Receivable (AR) & Revenue Cycle Specialist with strong expertise in Gastroenterology, Endoscopy, Ambulatory Surgery Center (ASC), and Anesthesia billing operations. The ideal candidate must possess deep knowledge of insurance follow-up, denial management, collections, and revenue cycle workflows within specialty healthcare practices.

Key Responsibilities:

• Manage and oversee AR and insurance follow-up operations for GI, Endoscopy, ASC, and Anesthesia services.
• Analyze aging reports and aggressively resolve outstanding claims and denied accounts.
• Handle denials, underpayments, appeals, claim corrections, and payer escalations.
• Monitor reimbursement trends, payer turnaround times, and collection performance.
• Coordinate with billing teams, providers, and operational leadership regarding AR performance and revenue optimization.
• Identify billing issues, revenue leakage, and workflow gaps impacting collections.
• Review claim status, payment posting discrepancies, and unresolved balances.
• Ensure timely follow-up on Commercial, Medicare, Medicaid, and Managed Care claims.
• Prepare AR, collections, and operational reports for leadership review.
• Support process improvement and revenue cycle optimization initiatives.
• Maintain compliance with payer guidelines and healthcare billing standards.
• Perform additional operational or administrative responsibilities as assigned.

Requirements

• 8–10 years of experience in Medical AR, Revenue Cycle Management, or Insurance Follow-Up.
• Mandatory experience in Gastroenterology, Endoscopy, ASC, and Anesthesia billing workflows.
• Strong understanding of denials management, appeals, collections, EOB analysis, and aging resolution.
• Experience handling specialty physician practice and surgery center revenue cycle operations.
• Ability to manage high-volume AR accounts independently and efficiently.
• Strong analytical, organizational, and communication skills.
• Experience with eClinicalWorks (eCW) EMR system is preferred.
• Proficiency in Excel, reporting, and operational tracking preferred.