RCM AR Specialist: Denials & Payer Follow-Up Expert

Allergy Partners; Asheville (NC); On-site; USD 48,000 - 65,000; Full time

Job summary

Allergy Partners is seeking a RCM AR Specialist to follow up on denied claims and overdue insurance balances using EOBs and reports. You will handle appeals for contract rate variances, submit medical records when requested, and monitor payer communications, maintaining detailed documentation in the system.

The role involves contacting payers, reviewing aged accounts, and building relationships with carriers.

Qualifications

• Requires at least a high school diploma or GED.
• Experience in medical billing and AR collections preferred.
• Familiarity with EOBs and insurance claim forms.
• Knowledge of CPT/ICD-10 coding.
• Strong written and verbal communication skills.
• Proficiency with practice management software and Microsoft Office.

Responsibilities

• Follow up on denied claims and overdue insurance balances.
• Submit appeals for contract rate variances.
• Submit Medical Records when requested by payer.
• Monitor payer correspondence and respond within 48 hours.
• Call payers to inquire about unpaid claims after 45 days and document activity.
• Attend regular staff meetings and training as requested.
• Maintain knowledge of software related to job functions.
• Build relationships with carrier personnel.

Skills

Medical Billing

Email proficiency

Communication skills

Practice management software

Insurance billing process

Healthcare reimbursement knowledge

CPT/ICD-10 coding

Education

High school diploma or GED

College education or trade school preferred

Tools

Practice management software

Microsoft Office

Job description

Allergy Partners is seeking a RCM AR Specialist to follow up on denied claims and overdue insurance balances using EOBs and reports. You will handle appeals for contract rate variances, submit medical records when requested, and monitor payer communications, maintaining detailed documentation in the system.

The role involves contacting payers, reviewing aged accounts, and building relationships with carriers.