Healthcare AR Specialist – Claims & Denials Resolution

Serenity Health Care; Lehi (UT); Hybride; USD 42 000 - 65 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Employer-covered benefits

401(k) plan

PTO & holidays

Referral bonuses

Career growth

Résumé du poste

Serenity Healthcare, based in Lehi, Utah, is seeking an Accounts Receivable Representative to manage a portfolio of insurance claims and drive timely payments. You’ll prioritize high-dollar and at-risk accounts, resolve denials, and file appeals as needed.

Ideal candidates have 2+ years in medical insurance AR follow-up or denial management, a proven track record of reducing aged AR, and strong knowledge of payer rules and timely filing. Experience with eCW and clearinghouse is a plus.

Qualifications

• 2+ years of medical insurance AR follow-up or denial management experience.
• Proven track record of reducing aged AR.
• Strong knowledge of commercial payer rules, denial codes (CARC/RARC), appeals and timely filing.
• Detail-oriented, self-motivated, and comfortable with measurable performance goals.

Responsabilités

• Manage assigned AR queues daily, prioritizing claims by value and filing risk.
• Follow up with payers on unpaid/underpaid/denied claims by phone, portal and clearinghouse.
• Correct and resubmit claims, and file appeals when needed.
• Identify denial trends and share root causes with billing leadership.
• Maintain clear, accurate account notes.
• Meet productivity, quality and AR reduction goals.

Connaissances

AR follow-up

Denial management

Timely filing

Attention to detail

Measurable goals

Outils

eClinicalWorks (eCW)

Clearinghouse

Description du poste

Accounts Receivable Representative

Serenity Healthcare | Lehi, UT | Full-Time

About Serenity
Serenity Healthcare is a technology-driven mental health company providing compassionate, evidence-based care. Our Revenue Cycle team makes sure the financial side of patient care runs accurately and efficiently.

The Role
We’re looking for an experienced AR Representative who knows how to get claims paid. You’ll own a portfolio of outstanding insurance claims and work it down by prioritizing high-dollar and at-risk accounts, resolving denials, and getting payment before timely filing deadlines.

What You’ll Do

• Work assigned AR queues daily, prioritizing claims by dollar value and timely filing risk

• Follow up with payers on unpaid, underpaid and denied claims by phone, portal and clearinghouse

• Correct and resubmit claims, and file appeals when needed

• Identify denial trends and share root causes with billing leadership

• Keep clear, accurate account notes

• Meet productivity, quality and AR reduction goals

What You Bring

• 2+ years of medical insurance AR follow-up or denial management experience

• A proven track record of reducing aged AR

• Strong knowledge of commercial payer rules, denial codes (CARC/RARC), appeals and timely filing

• Detail-oriented, self-motivated, and comfortable with measurable performance goals

Preferred

• eClinicalWorks (eCW) experience

• Behavioral health or outpatient specialty billing experience

• Clearinghouse experience

What’s in It for You

• Competitive pay

• 90% employer-paid medical, dental and vision coverage

• 401(k) retirement plan

• 10 PTO days to start (15 after one year), plus 10 paid holidays

• Employee referral bonuses

• Career growth opportunities

About Serenity

Serenity is a technology-driven healthcare company providing innovative, evidence-based treatment options for patients seeking better mental health outcomes. As we continue to grow, our Billing team helps ensure the financial side of patient care operates accurately and efficiently.

We are looking for someone who takes ownership of their work, pays attention to the details, and doesn't stop at identifying a billing problem but works to help resolve it.

Serenity is an Equal Opportunity Employer. Employment is contingent upon successful completion of a background check and drug screening.