07/30/2026
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.
- 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
- 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.
