Sr Specialist, Accounts Receivable

Employer Industry: Revenue Cycle Management Solutions for Healthcare

• Bonus incentives available
• Paid certifications and tuition reimbursement to support professional development
• Comprehensive benefits package to support physical, emotional, and financial health
• Opportunity for career advancement within a recognized leader in the industry
• Starting pay of $18.15/hr, with final compensation based on experience
• Flexible work environment that values work‑life balance

• Perform follow‑up and denial activities with commercial, governmental, and other payers to resolve claim payment issues
• Mentor Accounts Receivable Specialist team members to enhance their skills in the denials and appeals process
• Analyze denied and non‑paid claims to determine discrepancies and recommend resolutions
• Communicate directly with payers to ensure timely and accurate reimbursement
• Document all activities accurately in the client’s host system and assist with special projects for accounts receivable reduction

• Minimum of 1 year of relevant experience in medical collections, AR follow‑up, denials & appeals, or professional billing
• Strong problem‑solving and critical thinking skills to resolve complex claims
• Ability to meet productivity and quality standards as established by the employer
• Basic computer knowledge with proficiency in Microsoft Excel
• 2‑ or 4‑year college degree preferred

• Experience working with the DDE Medicare system and using payer websites to investigate claim statuses
• Knowledge of claims review and analysis
• Familiarity with medical terminology and insurance claim terminology
• Internal candidates should have met 120% productivity and 98% quality assurance in the past three months
• Certification in revenue cycle management (CRCR) either upon hire or within 9 months

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