To support healthcare organizations, the full-time AR Specialist - Clinical Denials will manage complex clinical denials and appeals, verifying eligibility, updating patient information, and securing payments while working remotely. Key responsibilities Verify eligibility and authorization, updating patient demographics and insurance information in relevant systems Research unpaid or denied claims, contacting payers to secure payment and submitting appeals as necessary Maintain confidentiality of patient information and adhere to state and federal claim guidelines while following productivity expectations Required qualifications 2-3 years of experience in medical collections, denials, and appeals Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI coding Experience with various types of denials, including DRG downgrades and medical necessity issues Familiarity with third-party billing guidelines and billing claim forms (UB04/1500) Intermediate proficiency in Microsoft Word and Excel, along with health information systems
AR Specialist - Clinical Denials in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.