Senior Ar Caller
2 days ago
About the Role:
We are seeking an experienced and detail-oriented AR Denials Management Specialist to join our Revenue Cycle Management team. The ideal candidate will have a strong background in denials resolution, accounts receivable follow-up, and payer communication with hands-on experience in both professional (physician) and hospital billing. You will play a key role in reducing denials, accelerating cash flow, and improving revenue cycle performance by identifying root causes and driving successful claim resolution.
Key Responsibilities:
- • Denial Management & Resolution
- • Analyze, prioritize, and resolve denied or underpaid claims from payers for both professional and hospital billing accounts.
- • Investigate root causes of denials and execute corrective actions for timely reimbursement.
- • Appeal incorrect denials with appropriate documentation and follow through until resolution.
- • Perform proactive follow-up on outstanding claims with payers via phone, portals, or written correspondence.
- • Ensure compliance with payer-specific requirements and timely filing deadlines.
- • Documentation & Reporting
- • Accurately document denial reasons, follow-up actions, and appeal outcomes in the billing system.
Required Qualifications:
- • Education: Bachelors degree preferred (or equivalent healthcare revenue cycle experience).
- • Experience: 1–5+ years of AR follow-up and denials management experience in a healthcare RCM environment.
- • Strong knowledge of CPT, ICD-10, HCPCS codes, modifiers, and payer billing guidelines.
- • Hands-on experience with professional (physician) and hospital billing workflows.
- • Familiarity with EOBs, remittance advices, and denial codes (CARC/RARC).
- • Proficiency in healthcare billing software / EHR systems (e.g., Epic, Athena, NextGen, Meditech, etc.).
- • Excellent written and verbal communication skills with strong analytical and problem-solving abilities.
Preferred Skills:
- • Experience working with Medicare, Medicaid, and commercial payers.
- • Strong understanding of payer appeal processes and reimbursement methodologies.
- • Ability to work in a fast-paced, target-driven environment and manage multiple priorities.
- • Knowledge of HIPAA compliance and patient confidentiality standards.
Why Join Us:
- • Competitive salary and performance-based incentives.
- • Opportunities for career growth within the RCM domain.
- • Collaborative team culture focused on innovation and continuous improvement.
- • Exposure to diverse payer systems and complex billing scenarios.
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