Gastroenterology AR Specialist

Job Description:

Job Title: Gastroenterology AR Specialist (Experienced in eClinicalWorks EMR)
Location: Remote
Job Type: [Full-Time]
Department: Health Care
About the Role:
We are seeking a detail-oriented Accounts Receivable (AR) Specialist with hands-on experience in
Gastroenterology billing and eClinicalWorks (eCW) EMR to join our healthcare revenue cycle team.
The ideal candidate will manage claims follow-up, denials, and collections, ensuring accurate and
timely reimbursement for gastroenterology services.
Key Responsibilities:
• Review, analyze, and work on outstanding insurance claims for gastroenterology procedures.
• Use eClinicalWorks (eCW) EMR to access patient records, billing data, and claims
information.
• Follow up with commercial and government payers to ensure timely and accurate claim
resolution.
• Investigate and resolve claim denials, rejections, and underpayments specific to
gastroenterology (e.g., colonoscopies, EGD, ERCP, etc.).
• Process appeals, and resubmissions as needed.
• Post payments and reconcile patient accounts.
• Maintain documentation of all actions taken for audit and reporting purposes.
• Collaborate with coding, billing, and clinical teams to resolve discrepancies.
• Meet individual and team AR productivity and aging targets.
Qualifications:
• 2+ years of AR follow-up experience in a gastroenterology practice or similar specialty.
• Proficiency in eClinicalWorks (eCW) EMR is mandatory.

• Strong knowledge of gastroenterology billing guidelines, CPT/ICD-10 codes, and payer-
specific rules.

• Experience working with Medicare, Medicaid, and commercial insurance plans.
• Familiarity with denial management, appeal processes, and EOB interpretation.
• Excellent communication, problem-solving, and organizational skills.
• Ability to work independently with minimal supervision.
Preferred Qualifications:
• Knowledge of gastroenterology-specific modifiers and procedure documentation
requirements.