Job Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

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 and process appeals as needed.
• Troubleshoot account issues, including demographic discrepancies and authorization concerns.
• Process and reconcile refund requests and banking deposits.
• Review and interpret EOBs for proper payment posting.
• Collaborate with accounting and management to resolve issues.
• Maintain documentation and perform claim resubmissions.

Knowledge/Skills/Abilities/Expectations

• Advanced knowledge of insurance denial management.
• Ability to trend and report recurring issues.
• Skilled in EMR navigation and HIPAA compliance.
• Strong analytical, communication, and collaboration skills.

Qualifications

Education

• High school diploma or equivalent.

Licenses/Certifications

• None required

Experience

• Minimum of 3 years of physician billing experience.
• Experience with Rural Health Clinic or Provider-Based Billing preferred but not required.