AR Claims Specialist: Denials Resolution & Appeals

University of Maryland Faculty Physicians; Baltimore (MD); On-site; USD 40,000 - 60,000; Full time

Job summary

Specialty Care Network is seeking an Accounts Receivable Claims Specialist in Baltimore, MD to manage denials and maximize revenue. This role requires attention to payer guidelines and accurate communication with providers and payors.

The candidate should have medical billing experience, CPT/ICD-10 knowledge, and proficiency with practice management and EHR systems. Strong organizational and communication skills are essential.

Qualifications

• Minimum 2–3 years of experience in medical billing.
• Experience with practice management systems and EHR.
• Familiar with CPT/ICD-10 coding and medical terminology.

Responsibilities

• Identify and resolve payment denials in the work queue.
• Resubmit corrected claims per payor policies or provider directions.
• Appeal denied claims with required information for adjudication.
• Communicate with providers to resolve denied payments.
• Stay current on payer policies and coverage guidelines.

Skills

Medical terminology

CPT/ICD-10 knowledge

Communication

Team collaboration

Phone etiquette

MS Office (Word/Excel)

Education

High School Diploma or equivalent

Tools

Practice management systems

EHR systems

Job description

Specialty Care Network is seeking an Accounts Receivable Claims Specialist in Baltimore, MD to manage denials and maximize revenue. This role requires attention to payer guidelines and accurate communication with providers and payors.

The candidate should have medical billing experience, CPT/ICD-10 knowledge, and proficiency with practice management and EHR systems. Strong organizational and communication skills are essential.