AR Representative Medix - 3.7 Knoxville, TN Job Details Full-time $20 - $23 an hour 20 hours ago Qualifications Appeals Patient question and concern management Accounts receivable management Phone communication Medical coding experience in physician offices Medical coding experience in outpatient clinics Financial issue resolution Medical denial root cause analysis (RCA) Medical insurance appeals management Medical explanation of benefits reviews Insurance claims appeal handling Healthcare coding investigations Medical debt collection accounts Patient collections management Financial compliance Client interaction via phone calls

Full Job Description Job Title:

Healthcare Medical Biller & AR Denial Specialist Location:

Knoxville, TN (On-site)

Pay Rate:

$20.00 - $23.00/hour

Schedule:

Full-Time, Monday - Friday | 8:00 AM - 4:30 PM (Fixed Schedule)

Position Type:

Contract-to-Hire (4-month contract conversion path) Position Overview We are seeking an experienced Medical Billing & Accounts Receivable Specialist to join a premier, fast-paced Centralized Business Office (CBO) in Knoxville. This role focuses on resolving complex commercial and government claim denials, performing root-cause analysis, and delivering top-tier patient customer service. If you thrive in a self-directed environment, have hands-on experience navigating payor portals, and enjoy bringing order to high-volume workflows, this is an excellent opportunity to expand your expertise in specialized specialty billing.

Key Responsibilities Denial Resolution & Appeals:

Perform manual review, root-cause analysis, and resubmissions/appeals for complex commercial and government claim denials (BlueCross ~30%, Medicare/Medicare Advantage ~30%, Humana, etc.).

Practice Management System Navigation:

Utilize enterprise billing software (Athena IDX) to review clinical notes, correct

ICD-10/CPT

codes, apply appropriate modifiers, and drive clean claim resolution.

Payor Communication:

Work directly through payor portals and phone lines to investigate and resolve unpaid or rejected claims.

Patient Services:

Answer incoming patient phone calls regarding billing inquiries, statement balances, and payment arrangements during standard office hours.

Production Standards:

Maintain a consistent target production goal of working roughly 50 tasks or accounts per day.

Required Qualifications Experience:

Minimum 2+ years of hands-on healthcare AR collections and claim denial management experience.

Financial Knowledge:

Proven ability to read and interpret Remittance Advice (RA) and Explanation of Benefits (EOB), as well as write formal appeals.

Coding & Compliance:

Working knowledge of

ICD-10, CPT

codes, modifiers, and medical necessity rules.

Customer Service:

Comfortable taking inbound patient phone calls regarding account balances with a compassionate, resolution-focused mindset.

Core Competencies:

High accountability, self-starter mentality, and strong verbal communication skills. Preferred Qualifications Direct hands-on experience operating within Athena IDX (Candidates with Athena experience will be prioritized). Prior experience with specialty medical billing, particularly Oncology, Hematology, or Infusion . Background working in a Centralized Business Office (CBO) or physician practice group environment. Why Join Us?

Growth Potential:

Clear contract-to-hire pathway into a leading regional healthcare practice.

Specialty Experience:

Gain high-value experience in complex oncology billing and enterprise software systems.

Culture:

Collaborative, supportive management team committed to team success and professional development.

Equipment Provided:

Full hardware provided on-site.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.