Remote Insurance A/R Specialist — Denials & Appeals

Mindful Support Services

Fort Worth (TX)

Remote

USD 28,000 - 34,000

Full time

3 days ago
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Benefits offered by this job

Health coverage
Dental coverage
Vision coverage
401k matching
Life Insurance
PTO 15 days
Paid holidays
Professional development

Job summary

Mindful Therapy Group is seeking an experienced claim specialist to independently resolve complex insurance balances across commercial, Medicare and Medicaid payers. You’ll own a claim from denial to final resolution, with a focus on Washington Medicaid and payer-specific rules.

The ideal candidate has 2+ years of hands-on insurance A/R follow-up, denial management, and strong communication skills, plus experience with AdvancedMD or similar EHRs.

Qualifications

  • Minimum 2 years of direct medical insurance A/R follow-up and claim-resolution experience.
  • Experience with commercial, Medicare, Medicaid, and managed Medicaid claims.
  • Strong written and verbal communication with payer representatives.
  • Experience with EHR (AdvancedMD) and payer portals.
  • Attention to detail and thorough documentation habits.

Responsibilities

  • Work outstanding insurance A/R, focusing on denied, rejected, and aged claims.
  • Analyze denial reason codes, eligibility, and authorization requirements to determine next steps.
  • Submit and track corrected claims, reconsiderations, appeals, and required documentation.
  • Interact with payer portals and representatives to obtain status and commitments.
  • Communicate status and needs clearly to providers and internal teams.
  • Post insurance payments and adjustments accurately per remittance advice.
  • Maintain actionable documentation in the EHR and tracking tools.

Skills

Insurance A/R follow-up
Denial management
Payer outreach
EHR software
Microsoft Excel
Communication skills

Tools

AdvancedMD
Payer portals
Clearinghouse tools
Outlook

Job description

Mindful Therapy Group is seeking an experienced claim specialist to independently resolve complex insurance balances across commercial, Medicare and Medicaid payers. You’ll own a claim from denial to final resolution, with a focus on Washington Medicaid and payer-specific rules.

The ideal candidate has 2+ years of hands-on insurance A/R follow-up, denial management, and strong communication skills, plus experience with AdvancedMD or similar EHRs.

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