AR Revenue Cycle Specialist

Job Summary

A company is looking for an AR Revenue Cycle Specialist II.

Key Responsibilities

• Collect and resolve unpaid third-party claims and non-standard appeals
• Conduct research on medical policies and local coverage determinations to address claim denials
• Mentor junior specialists and manage escalated issues related to claims

Required Qualifications

• High school diploma or equivalent
• Two years of experience in medical billing or insurance follow-up processing
• Additional education may substitute for required experience
• Knowledge of claims submission requirements for various payors
• Familiarity with medical policies and procedures related to claims processing