Aligned Orthopedic Partners, a private orthopedic team of board-certified surgeons, is seeking an experienced AR Follow-up and Denial Specialist to join their revenue cycle team with a hybrid onsite position in Virginia Beach, VA.
This role focuses on analyzing and resolving insurance claim denials, correcting errors, and securing accurate reimbursement from payers. Responsibilities include reviewing denied and unpaid claims for accuracy, submitting corrected claims, investigating claims with no response, managing denials and appeals through coding review and payer interaction, identifying denial trends and recommending improvements, educating team members, collaborating across departments, and performing account reconciliation.
The successful candidate has at least 3 years of experience in medical billing (preferably orthopedic or surgical), strong knowledge of healthcare billing, claims processing, payer follow-up, and appeals. Proficiency with payer websites and Microsoft Office tools is required. Coding knowledge sufficient to process denied claims is necessary. CPC certification is preferred but not required. A High School Diploma or GED is required.
Aligned Orthopedic Partners values diversity and equal opportunity employment, promoting a culture of inclusion and merit-based hiring.
Minimum 3 years experience in a medical billing department, preferably orthopedic or surgical. In-depth knowledge of healthcare billing, claims processing, payer follow-up, and appeals. Proficiency with payer websites and Microsoft Outlook, Word, and Excel. Sufficient coding knowledge to process denied claims and support appeals. Strong reasoning, critical thinking, analytical, and mathematical skills. Ability to work independently with high productivity and attention to detail. CPC certification preferred but not required. High School Diploma or GED required.
Location
Virginia Beach, Virginia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago