Accounts Receivable Specialist II, Remote

Location: Logan, West Virginia

Employment Type: External

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

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