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