Full Description
AR Analyst / AR Processing Analyst / Denial Management Specialist
Job description :
Job Summary :
Hiring an experienced AR Analyst / Denial Management Specialist to work on insurance aging, resolve unpaid and denied claims, perform payer follow-up, and support overall revenue cycle performance.
This is a remote role , and candidates must be flexible to work in rotational shift timings .
Responsibilities :
Work insurance AR aging and follow up on unpaid, rejected, and underpaid claims.
Check claim status via payer portals and payer calls.
Review ERAs / EOBs and analyze denial codes (CO / PR / OA / Remark Codes).
Correct and resubmit claims with updated CPT, DX, modifiers, or required documents.
Prepare and submit appeals for medical necessity, TFL, coding, and documentation denials.
Identify denial trends and assist with root-cause
analysis.
Document all actions in billing software and maintain productivity logs.
Collaborate with internal teams (coding, credentialing, eligibility, charge entry) to resolve issues.
Qualifications :
3 to 5+ years of experience in US medical billing AR follow-up or denial management .
Strong knowledge of Medicare, Medicaid, and commercial payer rules.
Ability to understand CPT, ICD-10, modifiers, and interpret EOB / ERA information.
Experience with EMRs / clearinghouses (Athena, ECW, Kareo, PracticeSuite, Waystar, Availity, ClaimMD, etc.).
Excellent communication skills for payer calls and documentation.
Proficiency in MS Excel and online payer portals.
Must be flexible to work in rotational shift timings.
Work Type :
Remote | Full-Time | Rotational Shifts
Regards,
Nedhra -HR
89251 and 14937
All the best