Insurance AR Specialist: Denials & Reimbursement Expert

Optim; Savannah (GA); Remote; USD 55,000 - 85,000; Full time

Job summary

Optim in Savannah, GA is seeking an RCM Associate - Insurance AR Specialist to manage assigned AR, resolve payer balances, and support timely reimbursement from third-party payers. This role emphasizes organization, attention to detail, prioritization, and problem solving to deliver high-quality service to patients, physicians, payers, and staff.

You will review denials, coordinate with Coding, Precertification, Charge Entry, and Denial Management teams, submit corrections and appeals, track

Qualifications

• Experience in medical insurance billing and AR management.
• CPAR certification preferred but not required.
• Knowledge of Medicare, Managed Care, Commercial, Workers Compensation, and out-of-network payer policies.
• Experience with Athena or similar PM/EMR systems.

Responsibilities

• Review, prioritize, and work AR by payer portfolio, aging category, balance, and department priority.
• Investigate and resolve unpaid, delayed, denied, underpaid, or incorrectly processed claims.
• Monitor payer payment trends, aging buckets, and unresolved balances to identify barriers to timely reimbursement.
• Identify payer denials, rejections, slow payment patterns, and recurring claim issues and escalate to leadership.
• Submit corrected claims, appeals, reconsiderations, and documentation as needed based on payer requirements.
• Track payer responses, appeal outcomes, corrected claim status, and next steps in PM/EMR systems.

Skills

AR Management

Payer Communications

Denial Resolution

Documentation & Reporting

Analytical Thinking

Education

Associate Degree

High School Diploma

Tools

Athena PM/EMR

Payer Portals

Microsoft Excel

Clearinghouse Tools

Job description

Optim in Savannah, GA is seeking an RCM Associate - Insurance AR Specialist to manage assigned AR, resolve payer balances, and support timely reimbursement from third-party payers. This role emphasizes organization, attention to detail, prioritization, and problem solving to deliver high-quality service to patients, physicians, payers, and staff.

You will review denials, coordinate with Coding, Precertification, Charge Entry, and Denial Management teams, submit corrections and appeals, track