Remote Hospital AR Resolution Specialist II – Denials & Appeals

Currance, Inc.; Irvine (CA); Remote; USD 55,000 - 75,000; Full time

Job summary

Currance, Inc. is hiring for an AR Specialist II in a remote role focused on hospital billing and denial follow-up.

You will manage insurance claims from submission through resolution, handling denials, appeals, and account follow-up for a variety of payer sources to ensure timely payments and minimize aging AR. The ideal candidate will have at least 2 years of experience with hospital claim payments, familiarity with EMR/EHR systems, and knowledge of ICD-10/CPT/HCPCS rules.

Qualifications

• High school diploma or equivalent.
• Minimum 2 years of experience securing medical claim payments from health insurance companies, experience managing claim follow-up and appealing denied claims with healthcare vendors or providers.
• Experience using EMR/EHR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms to support billing and account resolution.
• Strong working knowledge of ICD-10, CPT/HCPCS, payer guidelines, and the revenue cycle process.
• Strong written and verbal communication skills, with ability to advocate effectively with payers.
• Proficiency in Microsoft Office Suite, Teams, and various desktop applications.

Responsibilities

• Submit medical claims in accordance with all federal, state, and payer-specific requirements.
• Ensure claims are correctly submitted and paid by reviewing and correcting edits, errors, and denials.
• Investigate and analyze claim errors and rejections to apply necessary corrections.
• Follow up with payers and collect assigned insurance accounts receivable.
• Stay informed about payer updates and process changes for accurate claims submission and follow-up.
• Evaluate reasons for non-payment and take appropriate action to resolve claims for clients.
• Prepare and submit first- and second-level appeals with supporting documentation in accordance with payer guidelines and timelines.
• Identify and document coding, clinical, and registration issues for referral to the appropriate teams to correct claim errors and prevent future denials.
• Escalate stalled claims to the payer or Currance leadership as needed.
• Verify and adjust claims so that client accounts reflect correct liability and balances.

Skills

Medical claims

Accounts follow-up

Denials appeals

Payer guidelines

EMR/EHR knowledge

Education

High school diploma

Tools

Meditech

Epic

Cerner

Allscripts

Nextgen

Job description

Currance, Inc. is hiring for an AR Specialist II in a remote role focused on hospital billing and denial follow-up.

You will manage insurance claims from submission through resolution, handling denials, appeals, and account follow-up for a variety of payer sources to ensure timely payments and minimize aging AR. The ideal candidate will have at least 2 years of experience with hospital claim payments, familiarity with EMR/EHR systems, and knowledge of ICD-10/CPT/HCPCS rules.