Healthcare AR Specialist – remote

Why Consider This Job Opportunity

• Hourly rate up to $21.00 per hour, based on experience and qualifications
• Eligible for discretionary annual incentive program based on performance
• Comprehensive benefits package including Medical/Dental/Vision/Life Insurance
• Paid holidays and Paid Time Off, along with 401(k) plan contributions
• Opportunities for professional growth and skill development in healthcare revenue cycle
• Engaging work environment that values problem-solving and critical thinking

What To Expect (Job Responsibilities)

• Follow up with payers to resolve claim issues and secure timely reimbursement
• Analyze and resolve physician claim denials, including drafting and submitting technical appeals
• Conduct root cause analysis of claim denials and identify impacted procedures
• Collaborate on process initiatives to reduce denials and improve efficiency
• Summarize and report findings using advanced Excel skills to management and clients

What Is Required (Qualifications)

• Minimum of 2-3 years of experience in healthcare revenue cycle
• Associates or Bachelor’s degree preferred, or equivalent experience in denial management
• Strong knowledge of state/federal billing guidelines and reimbursement methodologies
• Exceptional problem-solving and critical thinking skills
• Proficiency in Excel, Payer Portals, and Claims Clearinghouses

How To Stand Out (Preferred Qualifications)

• Documented experience in denial management and technical skills related to claims processing
• Familiarity with National Correct Coding Initiative Edits (NCCI) and technical payer policies
• Ability to identify and escalate patterns in claim denials for management review

#ProfessionalServices #HealthcareRevenueCycle #ClaimsManagement #CareerOpportunity #CompetitivePay

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