AR Specialist III

Overview

At Scion Health
, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

The AR Specialist III is a senior-level position responsible for resolving complex insurance denials, performing coding-related appeals, managing recoupments and refunds, and supporting physician billing performance improvement. This position requires coding certification and extensive experience with payer policy trends and denial patterns.

• Analyze and resolve coding-related claim denials
• Trend and report denial patterns by provider, specialty, and market
• Communicate coding issues with AVP and suggest process improvements
• Guide team members in complex denial resolution
• Ensure accurate documentation and review of EMR to support appeal activity
• Collaborate with coding, management, and market leadership

• Expert-level understanding of insurance denials and coding principles
• Proficiency in CPT, ICD-10, and HCPCS coding
• Effective communicator and mentor
• Capable of independent troubleshooting and documentation

• High school diploma or equivalent

• Health Services ertified Coder-AHIMA or AAPC Certified Professional Coder Upon Hire (Required)

• 3+ years in physician billing with CPC certification (Required)
• Prior Experience in a Rural Health Clinic or Provider-Based Billing (Preferred)