Remote AR Insurance Analyst (Denials & Appeals)

Astera Cancer Care; Hickory (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

Carolina Oncology Specialists is seeking an Accounts Receivable Insurance Analyst to support remote operations. You will manage and resolve unpaid or denied insurance balances to ensure timely reimbursement for services rendered.

You will review payer policies, process appeals, and collaborate with coding, billing, and clinical teams to improve the revenue cycle and maintain compliance with regulatory requirements.

Qualifications

• Strong analytical, problem-solving, and critical thinking skills.
• Excellent attention to detail and organizational abilities.
• Effective written and verbal communication skills.

Responsibilities

• Review and analyze insurance accounts receivable to identify unpaid, underpaid, or denied claims.
• Investigate and resolve claim denials by reviewing payer policies, coding, and documentation requirements.
• Submit and track appeals to insurance companies, ensuring timely follow-up and resolution.
• Work payer-specific work queues to address aging accounts and reduce days in AR.
• Analyze trends in denials and underpayments, escalating systemic issues to leadership.
• Collaborate with coding, billing, and clinical teams to resolve claim errors and prevent future issues.
• Verify payer reimbursement accuracy based on contractual agreements.
• Maintain thorough and accurate documentation of all account activity, follow-up efforts, and resolutions.
• Work claim edits and clearinghouse rejections to ensure timely resubmission.
• Communicate with insurance representatives to obtain claim status, clarify reimbursement issues, and expedite payments.
• Assist in identifying process improvement opportunities to enhance revenue cycle efficiency.
• Support reporting efforts related to AR performance, denial trends, and payer behavior.
• Ensure compliance with all regulatory and payer guidelines.

Skills

Analytical Thinking

Problem Resolution

Attention to Detail

Communication & Collaboration

Time Management

Education

High school diploma

Associate’s or Bachelor’s degree in Healthcare Administration/Finance

Job description

Carolina Oncology Specialists is seeking an Accounts Receivable Insurance Analyst to support remote operations. You will manage and resolve unpaid or denied insurance balances to ensure timely reimbursement for services rendered.

You will review payer policies, process appeals, and collaborate with coding, billing, and clinical teams to improve the revenue cycle and maintain compliance with regulatory requirements.