RCM Specialist, A/R Analyst - Houma - Physicians Group Laboratories, LLC

    Description

    Revenue Cycle Specialist, Account Receivable (On-Site Houma, LA)

    Role Summary

    The Revenue Cycle Specialist, A/R Analyst, is responsible for managing and resolving outstanding insurance accounts receivable to ensure timely and accurate reimbursement. This role focuses on payer follow-up, denial resolution, and revenue recovery while maintaining compliance with billing regulations.

    Key Responsibilities

    • Actively work on insurance accounts receivable to resolve unpaid, underpaid, or delayed claims
    • Conduct follow-up with insurance payers via phone, portals, and electronic correspondence
    • Research claim denials, identify root causes, and take corrective action
    • Submit appeals and supporting documentation as required
    • Document all follow-up activity accurately within the billing system
    • Monitor payer trends and escalate recurring issues to leadership
    • Meet productivity and aging benchmarks for assigned AR inventory

    Why Work at PGL

    • Be part of a growing diagnostic laboratory with a strong commitment to accuracy, compliance, and operational excellence
    • Work alongside a stable, experienced revenue cycle leadership team that values process improvement and data-driven decision-making
    • Gain exposure to complex payer relationships and denial management, helping you sharpen advanced AR skills
    • Join a team-oriented, collaborative environment where your work directly impacts company performance and patient care

    Work Location

    • This position is on-site in Houma, Louisiana
    • This is not a remote position

    Qualifications & Skills

    • Prior experience in medical billing or revenue cycle AR follow-up
    • Strong understanding of insurance payer rules and denial codes
    • Detail-oriented with strong analytical and problem-solving skills
    • Excellent written and verbal communication skills
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