AR Specialist - Complex Denials

Job Summary

A company is looking for an AR Specialist 2 - Complex Denials to manage healthcare insurance receivables.

Key Responsibilities

• Verify eligibility and authorization with insurance carriers
• Research and monitor unpaid or denied claims for resolution
• Contact payers for payment, reconsideration, and appeal submissions

Required Qualifications

• 3-5 years of medical collections, denials, and appeals experience
• Advanced knowledge of ICD-10, CPT, HCPCS, and NCCI
• Advanced knowledge of third-party billing guidelines and claim forms (UB04/1500)
• Advanced knowledge of payor contracts, both commercial and government
• Advanced working knowledge of Microsoft Word and Excel