Healthcare AR Specialist: Denials & Claims

Serenity Mental Health Centers; Lehi (UT); Vor Ort; USD 45.000 - 64.000; Vollzeit

Benefits dieser Stelle

Competitive pay

90% employer-paid medical, dental and,

401(k) retirement plan

10 PTO days to start (15 after one y)

10 paid holidays

Employee referral bonuses

Career growth opportunities

Zusammenfassung

Serenity Healthcare in Lehi, UT is seeking an experienced Accounts Receivable Representative to own a portfolio of insurance claims. You will follow up, appeal when needed, and work to reduce aged AR while meeting deadlines in a fast-paced revenue cycle environment.

The role emphasizes prioritizing high-dollar claims, analyzing denial trends, and maintaining precise account notes to support billing leadership and timely payments.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

AR follow-up

Denial management

Payer rules knowledge

Detail-oriented

Tools

eClinicalWorks (eCW)

Clearinghouse

Jobbeschreibung

Serenity Healthcare in Lehi, UT is seeking an experienced Accounts Receivable Representative to own a portfolio of insurance claims. You will follow up, appeal when needed, and work to reduce aged AR while meeting deadlines in a fast-paced revenue cycle environment.

The role emphasizes prioritizing high-dollar claims, analyzing denial trends, and maintaining precise account notes to support billing leadership and timely payments.