Denials and Appeals Specialist (Level 3)

aspireallergy; Austin (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

Aspire Allergy & Sinus is seeking a full-time Medical Accounts Receivable Specialist (Level 3) to serve as a subject matter expert resolving complex reimbursement issues. The role evaluates payer accounts, handles rejections, denials, appeals, and escalated claims, driving revenue cycle performance in line with policies and benchmarks.

The position is fully onsite at our HQ office in Austin, TX, with a 40-hour work week (Mon-Thu 8-5, Fri 8-12).

Responsibilities

• Resolve complex, high-dollar reimbursement issues for payer accounts.
• Evaluate rejections and denied claims, process appeals, and follow up to final resolution.

Skills

Accounts Receivable

Denials Management

Payer Reimbursements

Job description

Aspire Allergy & Sinus is seeking a full-time Medical Accounts Receivable Specialist (Level 3) to serve as a subject matter expert responsible for resolving complex, high-dollar, and systemic reimbursement issues. This role evaluates assigned payer accounts, including working rejections, invalid and denied claims, appeals, escalated patient account concerns, and follow-up activities to bring accounts to final resolution in a timely manner and within industry-standard benchmarks. The Level 3 AR Specialist also identifies root causes of reimbursement challenges, supports Accounts Receivable operations across all financial classes as needed, and ensures compliance with industry regulations, practice protocols, and company policies while driving overall revenue cycle performance.

Schedule: Monday-Thursday 8 am- 5 pm
Friday 8 am- 12 pm
(40 hour work week)

This position will be fully onsite at our HQ office located at 5929 Balcones Dr #200, Austin, TX 78731