AR Denials Specialist - Follow-Up & Appeals Expert

Jordan-Young Institute; Virginia Beach (VA); Vor Ort; USD 55.000 - 75.000; Vollzeit

Zusammenfassung

Jordan Young Institute is seeking an AR Follow-up and Denial Specialist to join our Virginia Beach practice. You will review denials, correct claims, and follow up with payers to secure accurate reimbursement.

The role emphasizes denial management, timely appeals, and collaboration across the revenue cycle team. The ideal candidate has at least 3 years in medical billing, strong analytical and coding skills, and proficiency with payer sites and Microsoft Office.

Qualifikationen

• 3+ years in a medical billing department (orthopedic or surgical preferred).
• Healthcare billing, claims processing, payer follow-up, and appeals knowledge.
• Proficiency with payer websites and Microsoft Office.
• Coding knowledge to process denied claims and support appeals.
• Strong reasoning, critical thinking, analytical and mathematical skills.
• Ability to work independently with high productivity and attention to detail.
• CPC certification preferred but not required.
• High School Diploma or GED required.

Aufgaben

• Review denied and unpaid claims to verify coding and billing accuracy.
• Correct errors and submit revised claims when necessary.
• Investigate claims with no payer response to confirm receipt and follow up.
• Analyze denials and generate effective, well-researched written appeals.
• Appeal denials through coding review, contract interpretation, medical record review, and payer interaction.
• Maintain knowledge of payer websites and appeal processes for commercial and government payers.
• Ensure appeals and reconsideration requests are completed accurately and on time.
• Confer with coders, billing staff, and revenue cycle managers on coding or claim issues.
• Provide education to team members on payer policies and denial prevention.

Kenntnisse

Analytical skills

Coding knowledge

Payer follow-up

Excel

Outlook

Communication

Attention to detail

Independent work

Ausbildung

CPC certification preferred

High School Diploma or GED

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Jobbeschreibung

Jordan Young Institute is seeking an AR Follow-up and Denial Specialist to join our Virginia Beach practice. You will review denials, correct claims, and follow up with payers to secure accurate reimbursement.

The role emphasizes denial management, timely appeals, and collaboration across the revenue cycle team. The ideal candidate has at least 3 years in medical billing, strong analytical and coding skills, and proficiency with payer sites and Microsoft Office.