Hybrid AR Follow-Up & Denials Specialist

Jordan-Young Institute Orthopaedic Surgery & Sports Medicine; Virginia Beach (VA); Hybrid; USD 25,000 - 33,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Flexible spending account

Health insurance

Health savings account

Life insurance

Paid time off

Vision insurance

Job summary

Jordan-Young Institute Orthopaedic Surgery & Sports Medicine in Virginia Beach, VA, is seeking a proactive AR Follow-up and Denial Specialist to join our healthcare billing team. You will pursue unpaid claims, analyze denials, and ensure timely reimbursement from payers and patients, supporting our revenue cycle and cash flow.

The ideal candidate thrives in a fast-paced environment, communicates clearly, and is passionate about healthcare finance.

Qualifications

• 2 years of medical billing experience preferred.
• Experience reviewing and appealing denied claims.

Responsibilities

• Monitor and follow up on unpaid or partially paid insurance claims within designated timeframes to ensure prompt resolution.
• Review denied claims to identify reasons for denials and take corrective actions to resubmit or appeal as needed.
• Analyze claim rejections related to DRG, CPT, ICD-9, ICD-10 disparities to facilitate accurate reimbursement.
• Collaborate with clinic and coding teams to verify medical records and resolve documentation discrepancies.
• Maintain detailed records of follow-up activities, appeals, and payer/patient correspondence in EMR/EHR systems.
• Communicate with insurance companies, healthcare providers, and patients to clarify information and expedite resolutions.
• Stay updated on regulations and payer policies to maximize reimbursement opportunities.

Skills

Medical billing

Medical coding

EMR/EHR systems

Medical terminology

Claims data analysis

Payer communication

Denial management

Organization

Job description

Jordan-Young Institute Orthopaedic Surgery & Sports Medicine in Virginia Beach, VA, is seeking a proactive AR Follow-up and Denial Specialist to join our healthcare billing team. You will pursue unpaid claims, analyze denials, and ensure timely reimbursement from payers and patients, supporting our revenue cycle and cash flow.

The ideal candidate thrives in a fast-paced environment, communicates clearly, and is passionate about healthcare finance.