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Worker's Compensation AR Collections Specialist
Advanced Orthopaedics & Sports Medicine (Houston)Medical Billing AR Specialist managing workers' compensation accounts receivable for remote clients. Responsible for claim reviews, follow-ups, and ensuring billing accuracy in a fully remote environment.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medical Billing and Accounts Receivable management, with a strong focus on Workers' Compensation, claim corrections, and customer service. Proficient in resolving billing issues and ensuring accurate claim submissions to maximize reimbursement.
Highest-signal resume keywords
Medical Billing Workers' CompensationAccounts Receivable CollectionsInsurance Verification and EligibilityMedical Appeals and DenialsAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Accounts Receivable ManagementClaim CorrectionsReconciliationCustomer ServiceBillingMedical TerminologyInsurance RefundsClaim ReviewDenial ManagementCollections
Soft Skills
Effective CommunicationProblem SolvingAttention to DetailAbility to Work in Fast-Paced Environment
Tools & Technologies
Athena EMR
Industry Keywords
Workers' CompensationSpine Medicine BillingOrthopedic Medicine Billing
About the role
Key responsibilities & impact- Fully Remote Medical Billing Workers' Compensation AR Specialist will be well versed in all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, Insurance refunds/credit balances, customer service, and follow-up.
- This includes reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials.
- In addition, responsible for all other aspects of collections, resolving customer billing problems and reducing accounts receivable delinquency.
- Medical Billing Workers' Compensation AR Specialist will work remotely.
- Medical Billing Workers' Compensation A/R Clean up, Collections and Review.
- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
- Mail correspondence to insurance carrier for payment of claims in the form of claim review and/or appeals according to carrier guidelines.
- Review and monitor assigned accounts and all applicable collection reports.
- Follow-up claim reviews and appeals with insurance carriers.
- Scan and fax documents pertaining to patient accounts received from carriers.
- Actively searches for solutions to problems and presents ideas and recommendations to Management.
- Retroactive verification of eligibility.
- Always attempt to verify inaccurate/missing information.
- Other duties as assigned.
Requirements
What you’ll need- High School Diploma or equivalent. (Required)
- 1 year of experience in Workers' Compensation Billing and AR collections; preferably in physician office setting.
- Medical Appeals and Denials: 1 year. (Required)
- Minimum of 1 year’s knowledge of insurance verification and eligibility experience. (Required)
- Spine/Orthopedic medicine billing knowledge and experience (Preferred)
- Knowledge and experience with Athena EMR. (Preferred, but not required)
- Knowledge of medical and insurance terminology.
- Attention to detail.
- Ability to effectively communicate both orally and written.
- Ability to work in a fast-paced environment.
Benefits
Comp & perks- Remote office environment