Healthcare AR Specialist – Denials & Reimbursements

Anesthesia Dynamics; St. Louis (MO); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401k with employer match

PTO & holidays

Disability insurance

Life insurance

Training & development

Career growth

Job summary

Anesthesia Dynamics, through Hawthorn Revenue Cycle Management, seeks a detail‑oriented A/R Representative to manage insurance accounts receivable, process claims, and follow up on denials in a fast-paced healthcare setting in St. Louis.

This full‑time role offers an on‑site work location with a 50% hybrid option after 90 days, collaboration with coding and posting teams, and opportunities for training and career growth within a growing organization.

Qualifications

• Minimum one year of healthcare accounts receivable experience; three years preferred
• Experience working insurance claim denials, rejections, and appeals
• Ability to read and interpret Explanation of Benefits (EOBs)
• Previous data entry and 10-key experience
• Familiarity with healthcare billing practices and revenue cycle processes
• Strong analytical and problem‑solving skills
• Proficiency with Microsoft Outlook, Word, and Excel
• Strong organizational skills and attention to detail
• Effective written and verbal communication skills
• Ability to manage multiple priorities in a fast‑paced environment

Responsibilities

• Submit claims to primary, secondary, and tertiary payers in a timely manner
• Review, correct, and resubmit rejected or denied claims
• Follow up with insurance carriers regarding unpaid, underpaid, or denied claims
• Research claim denials and determine appropriate resolution strategies
• Prepare and submit appeals, disputes, and corrected claims as needed
• Analyze outstanding accounts to identify reimbursement issues and payment discrepancies
• Review Explanation of Benefits (EOBs) and take appropriate action based on payer responses
• Apply insurance adjustments, denials, and contractual allowances accurately
• Maintain detailed documentation and account notes regarding collection activities
• Collaborate with coding, payment posting, and other revenue cycle departments to resolve claim issues
• Verify claim accuracy, including patient demographics, diagnosis codes, and procedure codes
• Recognize and apply CPT, ICD-10, and payer‑specific billing requirements
• Maintain organized and accurate account records
• Perform data entry and system updates accurately and efficiently
• Escalate complex reimbursement issues when appropriate

Job description

Anesthesia Dynamics, through Hawthorn Revenue Cycle Management, seeks a detail‑oriented A/R Representative to manage insurance accounts receivable, process claims, and follow up on denials in a fast-paced healthcare setting in St. Louis.

This full‑time role offers an on‑site work location with a 50% hybrid option after 90 days, collaboration with coding and posting teams, and opportunities for training and career growth within a growing organization.