Accounts Receivable Specialist

Job Summary

A company is looking for an AR Hospital Follow Up Specialist (Remote).

Key Responsibilities:

• Perform root cause analysis on hospital payer denials and implement process initiatives to reduce them
• Follow up directly with payers to resolve claim issues and secure timely reimbursement
• Analyze denials and payment variances, drafting and submitting technical appeals as necessary

Required Qualifications:

• 2-3 years of experience in healthcare revenue cycle
• High School Diploma; Associate or Bachelor's degree preferred
• Proficiency in Excel, payer portals, and claims clearinghouses
• Knowledge of state/federal billing guidelines and reimbursement methodologies
• Ability to analyze and document denied and underpaid claims accurately