AR Specialist

Skip To Job Description Thanks for visiting our Career Page. Please review our open positions and apply to the positions that match your qualifications. AR Specialist New Orleans, LA Full Time Entry Level Share About Our Company:At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.A 2025 Great Place to Work®In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.Location: Hybrid in New Orleans, LASummary Description:The Revenue Cycle Specialist is a hands-on, cross-functional operator capable of working directly within client EHR and billing systems to execute the full lifecycle of a claim from eligibility verification and demographic accuracy through direct claim submission, edit resolution, and AR follow-up to final account resolution.Candidates must be experienced working natively in client source systems and must be capable of billing claims directly to payers include Medicare DDE/FISS, state Medicaid portals, and payer-specific direct submission channels.Job Responsibilities:  Flex across assigned functional areas (eligibility, demographics, billing, edit resolution, AR follow-up, and denial management) based on client volume, priority, and engagement needVerify active insurance coverage and benefits using payer portals, EDI 270/271 transactions, and direct payer outreach; document coverage details including effective dates, plan type, network status, copays, deductibles, coinsurance, and benefit limitationsDetermine primary, secondary, and tertiary payer order in accordance with coordination of benefits rules; identify Medicare Secondary Payer, workers' compensation, motor vehicle accident, and third-party liability scenariosFlag services requiring prior authorization, pre-certification, or referral and route to the appropriate teamReview, correct, and validate patient demographic, guarantor, subscriber, and insurance plan data in the EHR, PMS, or registration system; resolve demographic-related rejections and registration errors at the rootSubmit clean claims directly to payers via Medicare DDE/FISS, state Medicaid portals, and payer-specific direct submission channels, working natively in client EHR and billing systems rather than exclusively via clearinghouseResolve front-end claim edits, scrubber rejections, and pre-submission errors at the source system level, including demographic, eligibility, payer ID, modifier, diagnosis, and revenue code correctionsInterpret and resolve NCCI procedure-to-procedure edits, MUE edits, LCD/NCD policy edits, and bundling logicCorrect UB-04 and CMS-1500 field-level data including revenue codes, HCPCS, occurrence/conditions/value codes, modifiers, place of service, and rendering provider information as applicableWork aged accounts receivable, prioritizing high-dollar and high-aging balances to maximize cash collectionsContact payers via phone, portal, and electronic inquiry to determine claim status, identify denial or pending reasons, and drive claims toward paymentResearch and resolve...