Healthcare A/R Specialist - Denials & Reimbursement

Anesthesia Dynamics; Sunset Hills (MO); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) plan with employer matching

PTO and paid holidays

Disability coverage (short/long-term)

Life insurance

Training and career growth

Hybrid work after 90 days

Job summary

Anesthesia Dynamics, Hawthorn Revenue Cycle Management, is hiring an A/R Representative to manage insurance accounts receivable and ensure timely reimbursements. The role emphasizes problem-solving, data accuracy, and collaboration with coding and posting teams in a fast-paced healthcare environment.

The candidate should have 1+ year of healthcare A/R experience, strong Excel and data-entry skills, and the ability to interpret EOBs and payer requirements.

Qualifications

• 1+ year of healthcare accounts receivable experience or similar exposure.
• Experience handling insurance denials, rejections and appeals.
• Ability to read and interpret Explanation of Benefits (EOBs).
• Proficiency with 10-key data entry and standard office software.
• Familiarity with CPT/ICD-10 billing guidelines and payer requirements.

Responsibilities

• Submit claims to primary, secondary, and tertiary payers promptly.
• Review and correct denied claims and resubmit for payment.
• Follow up with payers on unpaid or underpaid claims.
• Research denials and determine appropriate resolution steps.
• Prepare appeals and disputes as needed to maximize reimbursement.
• Document account notes and maintain organized records.
• Collaborate with coding and posting teams to resolve issues.
• Verify demographics and codes for accuracy before submission.

Skills

Healthcare A/R

Denials & Appeals

Data Entry / 10-key

Microsoft Excel

Communication skills

Education

High school diploma

Associate degree preferred

Tools

Healthcare billing systems

Job description

Anesthesia Dynamics, Hawthorn Revenue Cycle Management, is hiring an A/R Representative to manage insurance accounts receivable and ensure timely reimbursements. The role emphasizes problem-solving, data accuracy, and collaboration with coding and posting teams in a fast-paced healthcare environment.

The candidate should have 1+ year of healthcare A/R experience, strong Excel and data-entry skills, and the ability to interpret EOBs and payer requirements.