Surgical AR Denials & Reimbursement Specialist

Pelvic Rehabilitation Medicine; West Palm Beach (FL); On-site; USD 27,552 - 34,440; Full time

Benefits offered by this job

Health, Vision and Dental

Paid holiday and PTO

FSA

High income potential with base and b

Job summary

Pelvic Rehabilitation Medicine is seeking a Surgical AR Representative to oversee out-of-network billing and collections for multiple practices from our West Palm Beach billing office. The role focuses on identifying denial trends, managing appeals, and addressing underpayments across states.

Requirements include a high school diploma, 2–3 years of surgical billing experience, and strong knowledge of coding guidelines.

Qualifications

• High School Diploma or equivalent.
• 2–3 years of full-time surgical billing/reimbursement experience.
• Full understanding of surgical billing from hospital and ASC environments.
• Superior knowledge of coding guidelines and reimbursement schemes.
• Strong organizational and computer skills.
• Ability to follow directions and prioritize effectively.
• Conversational knowledge of medical terminology, abbreviations, techniques, and surgical procedures.

Responsibilities

• Identifying trends in billing, coding, denials, underpayment etc.
• Updating plan IDs and Patient/Payor demographic information.
• Identifying payor issues and trends.
• Rejection and Denial management.
• Answering medical record requests related to claim resolution
• System Rejections
• Clearinghouse Rejections
• Denial and Appeal Management
• Ability to navigate Insurance portals
• Medical Record response
• Training others
• Perform other duties as assigned

Skills

Billing industry knowledge

Attention to detail

Analytical skills

Communication skills

Team collaboration

Education

High School Diploma or GED

Tools

eClinicalWorks RCM

Job description

Pelvic Rehabilitation Medicine is seeking a Surgical AR Representative to oversee out-of-network billing and collections for multiple practices from our West Palm Beach billing office. The role focuses on identifying denial trends, managing appeals, and addressing underpayments across states.

Requirements include a high school diploma, 2–3 years of surgical billing experience, and strong knowledge of coding guidelines.