Senior A/R Resolution Lead - Denials & Appeals

Tcavi; Gainesville (FL); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Tcavi in Gainesville, Florida is seeking an A/R Resolution Specialist Lead to manage and resolve complex insurance accounts, improve team performance, and drive timely reimbursements. This senior-level role requires extensive knowledge of the revenue cycle and strong analytical skills.

The ideal candidate has 4-6 years of relevant experience and is proficient in claims follow-up, denial management, and payer communication. Join us to enhance our revenue cycle efficiency!

Qualifications

• 4–6 years of experience in medical accounts receivable, denial management, or insurance follow-up.
• Strong experience with claims follow-up and appeals.
• Familiarity with CMS guidelines and commercial payer policies.

Responsibilities

• Resolve complex denied claims requiring appeals and payer escalation.
• Monitor assigned A/R work queues and prioritize accounts.
• Support team members with complex account resolution guidance.

Skills

Claims follow-up

Denial management

Analytical skills

Attention to detail

Payer communication

Education

Associate’s or Bachelor’s degree in Healthcare Administration

High School Diploma or equivalent

Tools

Practice management systems

Clearinghouses

Job description

Tcavi in Gainesville, Florida is seeking an A/R Resolution Specialist Lead to manage and resolve complex insurance accounts, improve team performance, and drive timely reimbursements. This senior-level role requires extensive knowledge of the revenue cycle and strong analytical skills.

The ideal candidate has 4-6 years of relevant experience and is proficient in claims follow-up, denial management, and payer communication. Join us to enhance our revenue cycle efficiency!