Job Description

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 Great 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 Summary

The 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 Functions

• Analyze insurance denials and rejections; initiate and process appeals as appropriate
• Troubleshoot account issues, including demographic discrepancies and authorization concerns
• Process and reconcile refund requests and banking deposits
• Review and interpret explanation of benefits (EOBs) for accurate payment posting
• Collaborate with accounting and management to resolve complex account issues
• Maintain accurate documentation and perform claim resubmissions as needed

Knowledge, Skills, and Abilities

• Advanced knowledge of insurance denial management and resolution processes
• Ability to identify trends and report recurring issues
• Proficient in EMR systems and knowledgeable in HIPAA compliance requirements
• Strong analytical, communication, and collaboration skills

Qualifications

Education

• High School Diploma or equivalent required
• Equivalent includes completion of secondary education or demonstrated ability to perform the essential functions of the role

Licenses/Certifications

• None required upon hire

Experience

• Minimum of three (3) years of physician billing experience required
• Minimum of three (3) years of experience with Rural Health Clinic (RHC) or Provider-Based Billing preferred