AR Follow Up Associate

AR Follow-Up Associate (Medical Billing)

Location: Catonsville, MD (On-site with future hybrid option)

Job Type: Contract-to-Hire (6 months)

Schedule: Full-time, business hours

Experience Level: Entry to Mid-Level (2+ years healthcare AR required)

We are currently seeking AR Follow-Up Associates with healthcare billing experience to support accounts receivable operations within a long-term care/skilled nursing environment. This role plays a critical part in ensuring accurate billing, timely collections, and proper reimbursement across multiple payer types. The ideal candidate has hands-on experience with medical billing, claims follow-up, denials, cash posting, and payer portals, and is comfortable working in a fast-paced, professional office setting.

• Perform accurate pre-billing review, billing, follow-up, and cash posting for assigned accounts
• Conduct admissions and census reviews
• Complete Triple Check claim validation
• Bill across all business lines and payer types
• Perform third-party and private pay follow-up
• Post cash, denials, contractual allowances, and write-offs using EOBs/ERAs
• Research and resolve credit balances and misapplied payments
• Handle resident final billing activities
• Respond to internal and external A/R Help Desk and customer service inquiries
• Participate in month-end close processes
• Submit corrected claims, appeals, and supporting medical documentation as needed
• Translate internal charge files into proper electronic and manual billing formats (CMS-1500, UB-04)
• Maintain accurate documentation and follow department standards for account notes

• 2+ years of healthcare accounts receivable experience, including:
  • Billing
  • Collections
  • AR follow-up
  • Cash posting
• Experience in a healthcare provider setting (long-term care or skilled nursing preferred)
• Working knowledge of:
  • Medicare, Medicaid, and Managed Care payers
  • EOBs and ERAs (835 transactions)
  • Claims denials and resolution processes
  • CPT and ICD-10 coding
• Experience using EMR/practice management systems
• Familiarity with payer portals
• Proficiency with Microsoft Excel, Word, and Outlook
• High school diploma or equivalent (required)

• Experience with long-term care or skilled nursing facilities
• Knowledge of Vision or similar practice management systems
• Experience with cash application and complex denial resolution
• Strong understanding of electronic claims submission requirements

• Professional, business-casual office setting
• Approximately 55-person site with structured, team-based operations
• On-site during training (approximately 90 days)
• After training, eligibility for hybrid schedule (4 days on-site, 1 day remote; Thursday remote day)

• Pay Rate: $22.00–$25.00/hour (based on experience)
• Contract-to-hire opportunity
• Eligible benefits may include:
  • Medical, dental, and vision insurance
  • 401(k) retirement plan (pre-tax and Roth options)
  • Life insurance and disability coverage
  • Health Savings Account (HSA)
  • Employee Assistance Program
  • Paid time off and leave options

• One in-person panel interview with multiple managers/directors
• Candidates should be prepared to discuss:
  • EOB and 835 processes
  • Denial types and resolution strategies
  • Systems and payer portals used
  • Daily AR workflows beyond quotas or call volume

This opportunity offers:

• Stability with a large, established healthcare organization
• Exposure to multiple payer types and billing complexities
• Long-term growth potential in revenue cycle operations
• A structured, collaborative team environment

Job Type & Location

This is a Contract to Hire position based out of catonsville, MD.

The pay range for this position is $22.00 - $25.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully onsite position in catonsville,MD.

This position is anticipated to close on Apr 23, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.