Medical AR Specialist: Denials & Reimbursement Expert

Addison Group; Oklahoma City (OK); On-site; USD 36,000 - 39,000; Full time

Job summary

Addison Group is seeking a Medical Accounts Receivable Specialist in Oklahoma City to research insurance denials, resubmit claims, and coordinate appeals. The role requires collaboration with Billing, Authorization, Credentialing, and Clinical teams to resolve payer issues and ensure timely follow-up on outstanding balances.

The ideal candidate has experience in medical billing, AR, and revenue cycle, with strong attention to detail and multitasking abilities.

Qualifications

• Experience researching insurance denials, submitting appeals, and resolving claim discrepancies.
• Knowledge of insurance reimbursement processes, payer requirements, and claim submission procedures.
• Strong attention to detail, organizational, and problem-solving skills.
• Ability to manage multiple accounts and meet timely filing and appeal deadlines.
• Strong communication skills and the ability to work cross-functionally with multiple departments.
• Experience in ABA therapy or behavioral health billing is a plus.

Responsibilities

• Research and resolve insurance claim denials, rejections, payment discrepancies, and requests for additional information.
• Correct and resubmit claims, coordinate reconsiderations and appeals, and monitor claims through final payer determination.
• Work closely with Billing, Authorization, Credentialing, and Clinical teams to resolve reimbursement issues related to provider information, authorizations, enrollment, coding, and documentation.
• Track outstanding insurance balances, denial reasons, appeal status, and payer requirements while ensuring timely follow-up.
• Identify and research payment discrepancies, contractual adjustments, recoupments, unapplied cash, duplicate payments, and account variances.
• Assist with account reconciliations and communicate unresolved discrepancies to management.
• Identify trends in denials and potential revenue leakage related to expired authorizations, eligibility issues, provider enrollment, and claim submission errors.
• Prepare and coordinate supporting documentation for insurance appeals and reconsiderations within payer deadlines.
• Communicate recurring issues to appropriate departments and recommend process improvements to reduce denials and improve collections.
• Maintain accurate records and follow established billing, compliance, and HIPAA guidelines.

Skills

Medical billing

Insurance follow-up

Accounts receivable

Revenue cycle management

Attention to detail

Organization

Problem solving

Communication skills

Job description

Addison Group is seeking a Medical Accounts Receivable Specialist in Oklahoma City to research insurance denials, resubmit claims, and coordinate appeals. The role requires collaboration with Billing, Authorization, Credentialing, and Clinical teams to resolve payer issues and ensure timely follow-up on outstanding balances.

The ideal candidate has experience in medical billing, AR, and revenue cycle, with strong attention to detail and multitasking abilities.