Uplift Healthcare Solutions

10/08/2026

10/08/2026

Title: Accounts Receivable (AR) Denials Specialist
Position Summary

We are seeking an experienced Accounts Receivable (AR) Denials Specialist to join our growing healthcare team. The ideal candidate will have strong experience in physician claims management, denial resolution, and insurance follow-up. This role is responsible for managing the complete denial lifecycle, ensuring timely resolution of denied claims to maximize reimbursement.

Key Responsibilities
- Manage and work assigned physician insurance claims.
- Review, analyze, and resolve denied medical claims.
- Review BCBS E&M coding-related claims and identify issues requiring dispute or appeal.
- Perform timely follow-up with insurance payers regarding claim denials and underpayments.
- Investigate denial root causes and take appropriate corrective actions.
- Submit reconsiderations, corrected claims, and appeals when necessary.
- Manage the denial turnaround process to ensure prompt claim resolution.
- Document all claim activities accurately within the billing system.
- Monitor claim status until final payment or resolution.
- Work the complete denial lifecycle from initial follow-up through final resolution.
- Collaborate with internal teams to identify trends and recommend process improvements that reduce future denials.
- Meet daily productivity and quality expectations while maintaining compliance with payer guidelines.

Qualifications
- Experience in using Availity and EPIC
- Minimum of 2 years of recent U.S. healthcare Accounts Receivable (AR) experience.
- Strong background in physician claims and denial management.
- Experience handling commercial and government insurance payers.
- Thorough understanding of the denial lifecycle, appeals, and insurance follow-up.
- Knowledge of medical billing, EOBs, ERA, and payer guidelines.
- Excellent analytical, problem-solving, and communication skills.
- Ability to work independently in a fast-paced environment while meeting productivity goals.

10/08/2026

Pre-AR Specialist
Position Overview
The Pre-AR Specialist is responsible for managing the end-to-end pre-AR process, ensuring patient accounts are accurately prepared and ready for billing. This includes patient registration, charge entry, reviewing and validating patient and insurance information, identifying and resolving account discrepancies, and ensuring all required documentation and charges are complete and accurate prior to billing.
The role requires strong attention to detail and a solid understanding of medical terminology, healthcare revenue cycle processes, insurance information, and billing requirements to help prevent claim errors, delays, and downstream AR issues.

Key Responsibilities
• Resolve charge entry errors and discrepancies to ensure charges are accurately processed and submitted to the appropriate insurance payer for reimbursement.
• Update and maintain patient registration and insurance information, ensuring accurate and complete coverage details.
• Review and select the correct insurance payer and billing information to support accurate claim submission, maximize reimbursement, and prevent denials.
• Review patient accounts and verify insurance eligibility and benefits through payer portals, OneSource, Availity, and direct calls to insurance payers when necessary.
• Review and resolve Coordination of Benefits (COB) issues to ensure claims are billed to the appropriate primary and secondary payers.
• Review and address claim edits and billing-related discrepancies prior to claim submission to minimize errors, rejections, and payment delays.
• Ensure patient accounts are complete, accurate, and billing-ready throughout the pre-AR process.

Qualifications:
• At least 2 years of experience in the US healthcare industry, preferably in Revenue Cycle Management (RCM), with working knowledge of insurance and benefits.
• Prior experience using EPIC is required.
• Knowledge of medical terminology
• Proficient in Microsoft Office applications.
• Technical Requirements:
• Own desktop or laptop (Core i5 or higher to serve as a backup device)
• Primary internet connection with a minimum speed of 50 Mbps.
• Secondary internet connection to serve as a backup.

Other Details:
•Independent Contract
•Permanent WFH
•Graveyard shift (Central Time)
•Equipment provided (Desktop computer)
•Php 45k-50k/month depending on experience

How to apply? Send your updated resume to [email protected] with the subject line: Applicant- Pre-AR Specialist

Note:
There are NO FEES required at ANY stage of the application process.
Only shortlisted candidates will be contacted.

10/08/2026

Position Overview:
The Insurance Verification and Authorization Specialist is responsible for ensuring the financial clearance of scheduled patient services.

Key responsibilities include verifying insurance benefits, obtaining required authorizations and HMO referrals, and completing timely admission notifications for bedded patients. The role collaborates with internal teams to resolve insurance-related concerns and patient inquiries.

The ideal candidate should have strong customer service and communication skills, excellent critical-thinking and problem-solving abilities, and the ability to multitask and make timely decisions in a fast-paced healthcare environment.

Key Responsibilities:
•Obtain HMO referrals when required before the patient’s scheduled service.
•Contact insurance companies by phone or online portal to verify benefits and authorization requirements.
•Submit authorization requests, provide required clinical information, and follow up on approval decisions.
•Coordinate with providers, utilization management, patient financial services, and other departments to resolve insurance-related concerns.
•Contact patients when additional information is needed for accurate and timely billing.
•Complete admission notifications for hospitalized patients according to insurance and department requirements.
•Work with vendor partners to ensure timely screening for Medicaid coverage.
•Maintain accurate and complete documentation in the EMR for financial clearance and account activity.
•Manage EPIC work queues, including insurance verification and accurate account documentation.
•Follow established procedures and communication standards to support a consistent and positive patient experience.
•Address patient questions and concerns, escalating complex issues to the appropriate team when needed.
•Handle inbound calls and aim to resolve concerns during the first interaction
•Coordinate with other departments to ensure a smooth and positive patient experience.

Qualifications:
•At least 2 years of experience in the US healthcare industry, preferably in Revenue Cycle Management (RCM), with working knowledge of insurance and benefits.
•Prior experience using EPIC is required.
•Knowledge of medical terminology, diagnostic coding, and CPT coding guidelines.
•Proficient in Microsoft Office applications.
Technical Requirements:
•Own desktop or laptop (Core i5 or higher to serve as a backup device)
•Primary internet connection with a minimum speed of 50Mbps.
•Secondary internet connection to serve as a backup.

Other Details:
•Permanent WFH
•Independent Contract
•Graveyard shift (Central Time)
•Equipment provided (Desktop computer)
•Php 40k-45k/month depending on experience

How to apply?
Send your updated resume to [email protected] with the subject line: Applicant- Insurance Verification and Authorization Specialist

Note:
There are NO FEES required at ANY stage of the application process.

Only shortlisted candidates will be contacted.

09/24/2026

Please send your resume to [email protected]

Title: Accounts Receivable (AR) Denials Specialist
Position Summary

We are seeking an experienced Accounts Receivable (AR) Denials Specialist to join our growing healthcare team. The ideal candidate will have strong experience in physician claims management, denial resolution, and insurance follow-up. This role is responsible for managing the complete denial lifecycle, ensuring timely resolution of denied claims to maximize reimbursement.

Key Responsibilities
- Manage and work assigned physician insurance claims.
- Review, analyze, and resolve denied medical claims.
- Review BCBS E&M coding-related claims and identify issues requiring dispute or appeal.
- Perform timely follow-up with insurance payers regarding claim denials and underpayments.
- Investigate denial root causes and take appropriate corrective actions.
- Submit reconsiderations, corrected claims, and appeals when necessary.
- Manage the denial turnaround process to ensure prompt claim resolution.
- Document all claim activities accurately within the billing system.
- Monitor claim status until final payment or resolution.
- Work the complete denial lifecycle from initial follow-up through final resolution.
- Collaborate with internal teams to identify trends and recommend process improvements that reduce future denials.
- Meet daily productivity and quality expectations while maintaining compliance with payer guidelines.

Qualifications
- Experience in using Availity and EPIC
- Minimum of 2 years of recent U.S. healthcare Accounts Receivable (AR) experience.
- Strong background in physician claims and denial management.
- Experience handling commercial and government insurance payers.
- Thorough understanding of the denial lifecycle, appeals, and insurance follow-up.
- Knowledge of medical billing, EOBs, ERA, and payer guidelines.
- Excellent analytical, problem-solving, and communication skills.
- Ability to work independently in a fast-paced environment while meeting productivity goals.

09/08/2026

Your Next Career Opportunity Awaits!
Our Healthcare Account is hiring! 🏥✨

Take a look at the details below and see if this opportunity is right for you!

09/08/2026

Are you an experienced Appointment Setter looking for a new opportunity? One of our accounts is hiring immediately!

How to apply: Send your updated resume to [email protected] or [email protected] today!

09/06/2026

🇺🇸 **Happy Labor Day!** 🇺🇸

Today, we celebrate the dedication, hard work, and contributions of workers everywhere. Thank you for all that you do! 💙

Happy Labor Day from Uplift Healthcare Solutions! 🎉

07/16/2026

Job Overview:
The Pre-AR Specialist is responsible for overseeing key front-end processes in revenue cycle management. This role focuses on verifying insurance coverage, Coordination of Benefits (COB), and ensuring accurate assignment of patient charges to the correct payor.

Key Responsibilities:
🔘Verify insurance coverage to ensure accurate billing.
🔘Review and update Coordination of Benefits (COB) to ensure accurate claim submission and reimbursement.
🔘Ensure proper routing of patient charges to the correct payors.
🔘Collaborate with healthcare providers and payers to resolve discrepancies.
🔘Ensure compliance with healthcare regulations and policies related to billing and patient information.

Qualifications:
☑️At least 2 years of experience in the US healthcare industry or in the same role.
☑️Strong knowledge of healthcare billing processes and insurance policies.
☑️Attention to detail and strong data management skills.
☑️Proficiency in EPIC is a plus but not required

Other Details:
☑️Must have a backup computer.
☑️Internet connection of at least 50 Mbps, with a backup internet connection required.