Oncology AR Specialist: High-Dollar Claims Recovery

Triarq Practice Services; Royal Oak (MI); On-site; USD 65,000 - 85,000; Full time

Job summary

TRIARQ Health is seeking an experienced Oncology AR Representative to recover oncology and infusion claims for our practice clients. You will handle high-dollar drug and administration claims, understand J-codes, NDCs, and infusion hierarchies, and explain a denial and fix it the first time.

You’ll report to the RCM Client Success Manager and partner to keep client receivables healthy, identifying payer trends before they create backlogs.

Qualifications

• 2+ years combined insurance AR and healthcare revenue cycle experience.

Responsibilities

• Manage oncology AR including denials, rejections, underpayments and no-response claims.
• Resolve J-code, NDC billing, units/dosage conversions, JW/JZ modifiers.
• Research and resolve medical necessity, authorization, and coverage denials.
• Prepare and submit corrected claims, reconsiderations, and appeals.
• Use payer portals, IVR, and follow up to move accounts to resolution.
• Update incomplete or inaccurate account information.
• Write clear follow-up notes on every touched account.
• Report issues to the Client Success Manager with actionable insights.
• Spot denial trends and suggest process improvements.

Skills

Insurance AR

Oncology AR

CPT/HCPCS

ICD-10-CM

Payer portals

Excel

Attention to detail

Problem solving

Tools

Excel

Job description

TRIARQ Health is seeking an experienced Oncology AR Representative to recover oncology and infusion claims for our practice clients. You will handle high-dollar drug and administration claims, understand J-codes, NDCs, and infusion hierarchies, and explain a denial and fix it the first time.

You’ll report to the RCM Client Success Manager and partner to keep client receivables healthy, identifying payer trends before they create backlogs.