Remote Insurance A/R & Denial Resolution Specialist

Mindful Support Services

Texas

Remote

USD 28,000 - 34,000

Full time

3 days ago
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Benefits offered by this job

Health insurance
PTO 15 days
Holidays 6
401k matching
Life Insurance
Professional development

Job summary

Mindful Therapy Group in the United States is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and processing issues across commercial, Medicare, and Medicaid payers. This full-time, remote role requires at least two years of hands-on A/R follow-up and payer outreach.

You will work within AdvancedMD and related tools, posting payments, documenting histories, and communicating with providers and payers to move claims to resolution.

Qualifications

  • At least 2 years of hands-on insurance A/R follow-up and claim-resolution experience.
  • Experience with commercial insurance, Medicare, Medicaid, and managed Medicaid claims.
  • Strong written and verbal communication with payers, providers, and internal teams.
  • Experience with an EHR or practice-management system and payer portals.

Responsibilities

  • Independently work outstanding insurance A/R, focusing on denied, rejected, and aged claims.
  • Analyze denial codes, eligibility, benefits, and authorization requirements to decide next steps.
  • Submit and track corrected claims, reprocessed claims, and appeals as needed.
  • Navigate payer portals and communicate with payer representatives for status and resolution.
  • Post insurance payments and adjustments accurately and document claim history in the EHR.

Skills

Insurance A/R follow-up
Payer outreach
Strong communication

Tools

AdvancedMD
EHR/Practice management
Payer portals
Microsoft Excel

Job description

Mindful Therapy Group in the United States is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and processing issues across commercial, Medicare, and Medicaid payers. This full-time, remote role requires at least two years of hands-on A/R follow-up and payer outreach.

You will work within AdvancedMD and related tools, posting payments, documenting histories, and communicating with providers and payers to move claims to resolution.

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