Healthcare AR Specialist: Denials & Payers

Talentify; Brentwood (TN); On-site; USD 26,000 - 34,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) matching

Paid time off

Tuition reimbursement

Professional development

Job summary

SpecialtyCare in Brentwood, TN seeks an Accounts Receivable Representative to analyze and trend medical claim denials from commercial, Medicare/Medicaid, and subrogation payers. You will initiate follow-up on underpaid and denied claims and coordinate with payers to secure timely reimbursements.

The role requires an Associate degree or equivalent experience, three years AR experience with payors, and strong Excel and Office skills.

Qualifications

• Associate’s degree or equivalent experience required.
• Three years of accounts receivable experience working with payors.
• Proficiency with Microsoft Office, especially Excel; ability to read and interpret insurance policies.

Responsibilities

• Initiate collection follow-up on underpaid and denied claims with assigned payers through reconsideration forms, appeals, or calls.
• Research and resolve claim rejections.
• Identify billing errors to be corrected by coding team.
• Research insurance policies and guidelines.
• Respond to payer correspondence promptly and accurately.
• Communicate payment or denial trends to management.

Skills

Accounts receivable

Data analysis

Communication

Education

Associate degree or equivalent experience

Tools

Excel

Microsoft Office

Job description

SpecialtyCare in Brentwood, TN seeks an Accounts Receivable Representative to analyze and trend medical claim denials from commercial, Medicare/Medicaid, and subrogation payers. You will initiate follow-up on underpaid and denied claims and coordinate with payers to secure timely reimbursements.

The role requires an Associate degree or equivalent experience, three years AR experience with payors, and strong Excel and Office skills.