AR Specialist 2 - Complex Denials

Job Summary

A company is looking for an AR Specialist 2 - Complex Denials.

Key Responsibilities

• Verify eligibility and authorization with insurance carriers and update patient information
• Research and monitor unpaid or denied claims, ensuring compliance with guidelines
• Contact payers to secure payment and submit appeals as necessary

Required Qualifications

• 3-5 years of experience in medical collections, denials, and appeals
• Advanced knowledge of ICD-10, CPT, HCPCS, and NCCI
• Familiarity with third-party billing guidelines and claim forms (UB04/1500)
• Advanced proficiency in Microsoft Word and Excel
• Experience with health information systems (e.g., EMR, Claim Scrubbers)