Expressable

Accounts Receivable

• The Billing & AR Coordinator supports the revenue cycle by handling specialty billing for programs such as ECI, vendor partnerships, and grants, along with accounts receivable and collections. This role ensures accurate claims, timely follow-up, and assists with payment posting, denial resolution, and patient collections.
• Submit and manage accurate, timely claims for specialty funding sources (e.g., ECI, grants, vendor programs).
• Audit billing records for accuracy, compliance, and proper documentation.
• Resolve complex claim issues, including denials, appeals, and underpayments.
• Perform follow-up on aged accounts and outstanding balances; manage payment plans and disputes.
• Communicate professionally with patients, caregivers, payers, and internal teams regarding billing matters.
• Maintain accurate financial records and documentation in EHR and CRM systems.
• Ensure compliance with HIPAA, payer guidelines, and organizational policies.
• Identify trends in claim errors or payment delays and support process improvement efforts.
• Participate in ongoing training and team collaboration.

Strategic Billing & AR Specialist, Healthcare

Compliance

• Support audit and compliance efforts by assisting with external payer responses, conducting internal reviews, and ensuring required training is completed.
• Maintain payer setup and readiness including fee schedules, EFT/ERA configuration, portal access, and payer profile updates.
• Interpret payer contracts and manuals to extract operational requirements and support clean claim submission.
• Maintain up-to-date reference materials and serve as a resource to internal teams on payer rules and workflows.
• Monitor payer updates and policy changes, assess their impact, and assist with implementation and compliance tracking; attending new payer orientation meetings and ongoing payer training sessions.
• Collaborate cross-functionally on special projects to improve payer compliance, documentation, and training systems.

Strategic Billing & AR Specialist, Healthcare

Payer Compliance Specialist