AR Specialist, Medicare

Infinx

Hospital Medicare Biller handling accounts receivable payments and adjustments for Ni2 Health. Supporting the revenue cycle operations and collaborating on process improvements.

Posted 7/30/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in hospital and physician claims follow-up, with a strong understanding of Medicare billing regulations and proficiency in managing denied claims and appeals. Capable of utilizing various hospital EMRs and billing systems to improve accounts receivable processes.

Highest-signal resume keywords

Hospital Claims Follow-UpMedicare Billing ExperienceDenials ManagementProficiency in Cerner, Epic, McKessonMS Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Accounts Receivable ProcessingAR Discrepancy ResolutionClaims Follow-UpAppeals PreparationRTP ManagementBilling Regulations KnowledgeMedicare Advantage UnderstandingRoot Cause AnalysisProprietary Tools AdaptationTime Management

Soft Skills

Excellent Communication SkillsOrganizational SkillsInterpersonal Skills

Tools & Technologies

CernerEpicMcKessonCPSIMeditechWaystarSSIQuadaxAvailityMedicare DDE System

Industry Keywords

Hospital BillingOutpatient BillingInpatient BillingCAHRHCProvider-Based Billing

About the role

Key responsibilities & impact

Process accounts receivable payments and adjustments
Research and resolve AR discrepancies promptly
Follow up on outstanding/aged receivables
Maintain organized AR documentation
Identify opportunities to improve AR processes
Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC, and Provider-based billing and AR follow-up knowledge
Have a solid understanding of billing regulations related to Medicare and Medicare Advantage
Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
Have strong proficiency in managing RTP and denied claims, including the ability to determine the root cause, and providing requested information to health plans to resolve identified issues
Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans
Adapt quickly to proprietary tools and technology
Other duties as assigned

Requirements

What you’ll need

5 years of hospital and physician claims follow-up and denials management
3 years of Medicare billing or Medicare follow-up experience
Proficiency with hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, etc.
Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, etc.
Proficiency with Medicare DDE system
Proficiency in MS Excel and MS Outlook
Excellent written and oral communication skills
Excellent organizational, time management, and interpersonal skills

Benefits

Comp & perks

Full benefits to include 401k with company match
Progressive PTO policy with paid holidays