Senior Insurance AR Specialist: Denials & Appeals

Austin Health Partners; Austin (TX); Hybrid; USD 52,000 - 65,000; Full time

Job summary

Austin Health Partners is seeking an Insurance AR Specialist III in Austin, TX. The role focuses on managing outstanding insurance accounts, timely filing of claims, and posting rejections with explanations. It requires strong attention to detail and excellent customer service.

The position is full-time in the Central Business Office, with a hybrid work option after in-office training and potential return to office if needed, reporting to the Director of Billing Services.

Qualifications

• Minimum of 3 years experience in revenue cycle management.
• Familiarity with Medicaid, Medicare and Commercial Insurance.
• Familiarity with CPT and ICD 10 coding; knowledge of medical terminology.

Responsibilities

• Thoroughly research reasons for denied claims and work appeals to resolve balances.
• Resolve denials/appeals within 72 hours of receipt.
• Review previously worked claims within a minimum of 30 days.
• Resolve professional billing claim and clearinghouse edits as well as payer rejections.
• Resolve claims greater than 60 days from date of service.
• Work a minimum of 50 claims a day.
• Communicate with Coders to handle coding-related claim edits and appeals.
• Identify and document new payer denial trends and notify supervisor for escalated follow up.
• Manage patient and payer credit balances per policy.

Skills

Revenue cycle management

CPT ICD-10 coding

Medical terminology

Education

High School Diploma

Some college preferred

Tools

Practice management software

Job description

Austin Health Partners is seeking an Insurance AR Specialist III in Austin, TX. The role focuses on managing outstanding insurance accounts, timely filing of claims, and posting rejections with explanations. It requires strong attention to detail and excellent customer service.

The position is full-time in the Central Business Office, with a hybrid work option after in-office training and potential return to office if needed, reporting to the Director of Billing Services.