Назад
Company hidden
12 дней назад

AR Recovery/Healthcare Denials Specialist (On-site Plano, TX) (Healthcare Revenue Cycle)

Формат работы
onsite
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
Для мэтча и отклика нужен Plus

Мэтч & Сопровод

Для мэтча с этой вакансией нужен Plus

Описание вакансии

Текст:
/
TL;DR
AR Recovery/Healthcare Denials Specialist (Healthcare Revenue Cycle): Investigating and resolving healthcare insurance denials and underpayments using ARO software with an accent on payer rules, medical claims, reimbursement accuracy, and HIPAA-compliant documentation. Focus on analyzing complex payment discrepancies, preparing appeals, identifying denial trends, and improving revenue cycle processes.

Location: On-site in Plano, Texas, United States

Company

hirify.global develops healthcare revenue management and ARO software to improve medical billing and collections.

What you will do

  • Investigate and resolve healthcare insurance denials and underpayments.
  • Contact insurance companies, affiliates, and providers to resolve claim issues.
  • Analyze contracts, billing records, and collections to ensure accurate reimbursement.
  • Prepare appeals, patient correspondence, and payer communications.
  • Identify denial trends, support process improvements, and mentor junior representatives.
  • Maintain HIPAA-compliant documentation of all work performed.

Requirements

  • 3+ years of experience in healthcare insurance billing, follow-up, reimbursement, and collections in a hospital or BPO vendor environment.
  • Deep knowledge of payer rules, denial reasons, and appeals processes.
  • Experience with healthcare billing and EHR systems such as EPIC, Paragon, Zirmed, or similar.
  • Knowledge of medical terminology, claim types, UB-04, CPT, ICD, DRG codes, and EOB/RA.
  • Strong written and verbal communication, analytical, problem-solving, and Microsoft Excel and Word skills.
  • Ability to work on-site in Plano, Texas, United States.

Nice to have

  • Medicaid, Medicare, and commercial billing experience.
  • Associate or Bachelor’s degree.

Culture & Benefits

  • Work with an innovative team using advanced ARO technology.
  • Career growth opportunities in healthcare finance and revenue cycle management.
  • Competitive salary and benefits.
  • Supportive, agile, customer-centric, reliable, and engaged work culture.
  • Commitment to HIPAA, FCRA, GLBA, confidentiality, ethics, and continuous learning.

Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →