AR Specialist: Denials & Claims Resolution

Riverside Healthcare; Kankakee (IL); Hybrid; USD 69,800,000 - 86,220,000; Full time

Job summary

Riverside Healthcare is seeking an Accounts Receivable Specialist to pursue reimbursement for services and resolve AR. You will follow up on denials, appeals, and payer communications in a hospital/physician billing setting.

The role requires 2+ years experience, detail-oriented work, and knowledge of HIPAA and insurance rules. Epic systems experience is preferred; strong Excel and Microsoft Office skills are essential.

Qualifications

• 2+ years related work experience required.
• Detail oriented with strong organizational skills.
• Knowledge of physician billing and insurance rules preferred.
• HIPAA standards familiarity.
• Able to perform mathematical calculations.
• Proficient in Microsoft Office and Excel.

Responsibilities

• Pursue reimbursement for services rendered and resolve accounts receivable.
• Follow up on denials and appeals; analyze root causes to reduce future denials.
• Communicate with third party payers via statements, letters, emails, or portals.
• Maintain knowledge of payer types and reimbursement policies.
• Enter/post denials, adjustments in practice management systems.
• Identify opportunities for process improvements and report to management.

Skills

Attention to detail

Communication skills

HIPAA knowledge

Mathematical calculations

Excel

Microsoft Office

Billing background

Education

High school diploma

Two years college

Tools

Epic systems

Job description

Riverside Healthcare is seeking an Accounts Receivable Specialist to pursue reimbursement for services and resolve AR. You will follow up on denials, appeals, and payer communications in a hospital/physician billing setting.

The role requires 2+ years experience, detail-oriented work, and knowledge of HIPAA and insurance rules. Epic systems experience is preferred; strong Excel and Microsoft Office skills are essential.