AR Denials Investigator & Triage Specialist

Francisco Partners; Carmel (IN); On-site; USD 42,000 - 62,000; Full time

Job summary

Zotec Partners in Carmel, IN is seeking an AR Specialist to join the AR Triage & Investigations team. You'll dig into claim rejections and denials, identify root causes, and work directly with insurance carriers to move outstanding claims toward resolution.

You will review Salesforce cases, communicate with payers, and ensure accurate documentation in the billing system while meeting daily productivity targets.

Qualifications

• Experience in medical billing or healthcare claims follow-up.
• Familiarity with insurance claim processes and denial codes.
• Proficiency with payer portals and clearinghouses is preferred.

Responsibilities

• Review and triage Salesforce Cases, directing them to the appropriate teams or departments within the Enterprise.
• Follow up on claims rejections and denials to determine cause and appropriate next action.
• Identify billing issues and route or correct them as needed.
• Communicate with insurance companies to obtain status on outstanding claims.
• Work daily correspondence work files, prioritizing by age and dollar impact.
• Process and follow up on appeals, tracking outcomes through resolution.
• Resolve correspondence issues, including EOB discrepancies and payer requests for additional information.
• Document all account activity clearly and accurately in the billing system.
• Escalate trends or recurring denial patterns to leadership when identified.
• Meet daily/weekly productivity and quality standards for case resolution.

Skills

Healthcare billing

Accounts receivable

Payer correspondence

Time-management

Tools

Excel

Salesforce

Job description

Zotec Partners in Carmel, IN is seeking an AR Specialist to join the AR Triage & Investigations team. You'll dig into claim rejections and denials, identify root causes, and work directly with insurance carriers to move outstanding claims toward resolution.

You will review Salesforce cases, communicate with payers, and ensure accurate documentation in the billing system while meeting daily productivity targets.