Healthcare AR Specialist: Denials, Payments & Analytics

Specialtycare; Brentwood (TN); On-site; USD 28,000 - 33,000; Full time

Job summary

SpecialtyCare is seeking an Accounts Receivable Representative to analyze and resolve medical claim denials from commercial, Medicare/Medicaid, HMO/PPO, and subrogation payers. You will initiate follow-ups on underpaid/denied claims, research rejections, and coordinate with the coding team to correct billing issues.

You’ll review insurance policies, respond to payer communications, and share denial trends with management.

Qualifications

• Associate’s degree or equivalent experience.
• Three years of accounts receivable experience working with payors.
• Must be proficient with Microsoft Office, especially Excel.
• Ability to read, analyze and interpret insurance policies and guidelines.

Responsibilities

• Initiate collection follow-up on under paid and denied claims with assigned payers through reconsideration forms, appeals or phone calls to the payer.
• Research and resolve claim rejections.
• Identify billing errors to be corrected by coding team.
• Research insurance medical policies and guidelines.
• Respond to payer correspondence in a timely manner.
• Communicate payment or denial trends to management in a timely manner.
• Document all follow up efforts and communication within practice management system.
• Develop and maintain positive working relationship with team members.
• Other projects as assigned.

Skills

Accounts Receivable

Excel proficiency

Attention to detail

Education

Associate’s degree or equivalent experience

Tools

Microsoft Office

Excel

Job description

SpecialtyCare is seeking an Accounts Receivable Representative to analyze and resolve medical claim denials from commercial, Medicare/Medicaid, HMO/PPO, and subrogation payers. You will initiate follow-ups on underpaid/denied claims, research rejections, and coordinate with the coding team to correct billing issues.

You’ll review insurance policies, respond to payer communications, and share denial trends with management.