Job Summary We are seeking a dynamic and detail-oriented Accounts Receivable and Denial Specialist to join our healthcare finance team. In this vital role, you will be responsible for managing the collection of outstanding medical accounts, resolving claim denials, and ensuring accurate billing processes. Your expertise will help optimize revenue cycle operations by effectively addressing unpaid claims, analyzing denial reasons, and collaborating with clinical and administrative teams to improve reimbursement outcomes. This position offers an exciting opportunity to contribute to a fast-paced environment dedicated to financial accuracy and exceptional patient service. Responsibilities Manage the accounts receivable portfolio by following up on unpaid or partially paid medical claims across various payers. Review and analyze claim denials, identifying root causes related to coding errors, documentation issues, or payer policies. Resubmit corrected claims promptly, ensuring compliance with billing guidelines and payer requirements. Utilize Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems to access medical records, verify billing details, and document collection efforts. Apply knowledge of CPT (Current Procedural Terminology) coding, and ICD-10 coding standards to ensure accurate claim submission. Maintain detailed records of collection activities, denial appeals, and correspondence with payers for audit purposes. Qualifications Proven experience in medical billing, collections, or accounts receivable within a healthcare setting. Strong understanding of medical coding including

DRG, CPT

coding, ICD-10, and medical terminology. Familiarity with EMR systems and EHR platforms used for managing medical records and billing information. Knowledge of insurance policies, payer guidelines, and denial management processes. Excellent communication skills for effective collaboration with clinical staff and insurance representatives. Ability to analyze complex claim denials and implement corrective actions efficiently. Join our team as an Accounts Receivable and Denial Specialist if you are passionate about healthcare finance operations! Your expertise will directly impact our organization's revenue cycle success while supporting our commitment to delivering outstanding patient care through accurate billing practices.

Pay:

$20.00 - $23.00 per hour

Work Location:

In person