Healthcare AR Denials & Edits Specialist

CorroHealth, Inc.; Austin (TX); On-site; USD 42,000 - 68,000; Full time

Job summary

CorroHealth, Inc. is seeking an AR Specialist in Austin, TX to manage timely collections of government and commercial healthcare receivables. You will follow up on outstanding claims for all payers, including self-pay, and work to resolve denials.

Reporting to the AR Services Manager, you will verify eligibility, update records, research denials, and write appeal letters where needed. The role requires 3+ years in healthcare AR, AHIMA/AAPC certification, and strong analytical skills.

Qualifications

• 3+ years of accounts receivable experience in healthcare revenue cycle.
• AAPC or AHIMA certification such as CPC or RHIT.
• 2+ years of healthcare insurance billing experience.
• Experience with professional physician and hospital facility claims.
• Ability to read and interpret EOBs.
• Understanding UB04 and HCFA 1500 forms.
• High School diploma.
• Proficiency with Outlook, Excel, and Word.
• Strong communication and interpersonal skills; ability to work independently and think analytically.

Responsibilities

• Interacts with insurance plans, patients, physicians, and team members to collect on claims.
• Verifies patient eligibility and authorization by payer websites or phone.
• Updates patient demographics and insurance data in client systems.
• Researches unpaid or denied claims and statuses them.
• Monitors claims for missing information and required control numbers.
• Directs payer follow-ups to secure payment and resolves denials.
• Writes appeal letters for technical denials and assists with billing guidelines.
• Prepares claims for clinical audit processing when applicable.

Job description

CorroHealth, Inc. is seeking an AR Specialist in Austin, TX to manage timely collections of government and commercial healthcare receivables. You will follow up on outstanding claims for all payers, including self-pay, and work to resolve denials.

Reporting to the AR Services Manager, you will verify eligibility, update records, research denials, and write appeal letters where needed. The role requires 3+ years in healthcare AR, AHIMA/AAPC certification, and strong analytical skills.