AR Denials Specialist — Revenue Cycle Expert

Healthrise; Southfield (MI); On-site; USD 45,000 - 65,000; Full time

Job summary

Healthrise in Southfield, MI seeks a Denials Resolution Specialist to join the revenue operations team. The role focuses on post-billed denials across hospital and medical group partners, addressing root causes, and optimizing reimbursement through timely appeals and accurate documentation.

The candidate should have 2–3 years in revenue cycle denial management, strong communication skills, and familiarity with CPT/ICD-10 coding.

Qualifications

• Requires high school diploma or associate degree in accounting, business administration, or related field.
• 2–3 years of revenue cycle medical billing, insurance follow-up, and denial management experience in healthcare settings.

Responsibilities

• Reviews, researches, and resolves payment delays and variances from denied or rejected claims, overpayments, or underpayments.
• Processes payments in accordance with contracts and policies to ensure timely resolution.
• Investigates and addresses overpayments/underpayments with the goal of optimizing reimbursement.
• Coordinates with clinical departments to support appeals and communicates with payers and patients to resolve balances.
• Documents all actions in the patient accounting system and prepares reports on trends and outcomes.

Job description

Healthrise in Southfield, MI seeks a Denials Resolution Specialist to join the revenue operations team. The role focuses on post-billed denials across hospital and medical group partners, addressing root causes, and optimizing reimbursement through timely appeals and accurate documentation.

The candidate should have 2–3 years in revenue cycle denial management, strong communication skills, and familiarity with CPT/ICD-10 coding.