We are a medical revenue cycle management company that helps physician practices maximize reimbursement through accurate billing, accounts receivable management, and client service.
This is a fully remote position, but applicants must reside in Texas.
The AR Recovery Specialist manages and resolves insurance accounts receivable by researching denied, underpaid, and aging claims. The role focuses on appeals, payer follow-up, and claim resolution to improve reimbursement and support revenue cycle performance.
Key Responsibilities
- Manage and resolve aging insurance accounts receivable.
- Research and resolve denied, delayed, rejected, and underpaid claims.
- Review EOBs and ERAs to identify payment discrepancies.
- Contact insurance carriers by phone and through payer portals to resolve claim issues.
- Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation.
- Document all account activity accurately in the practice management system.
- Collaborate with billing, coding, and authorization teams.
- Monitor payer guidelines and policy changes.
- Maintain organized documentation and detailed account notes.
- Meet productivity and quality standards.
- Identify denial trends and recommend process improvements.
Requirements & Qualifications
Required Qualifications
- Minimum of 2 years of experience in medical billing, revenue cycle, or healthcare administrative roles.
- Strong understanding of medical billing, insurance claims, and denial management.
- Experience with Medicare, Medicaid, and commercial insurance claims.
- Experience preparing and submitting appeals and reconsiderations.
- Proficiency in Microsoft Excel.
- Typing speed of 50+ WPM.
- Excellent written and verbal communication skills.
- Strong organizational, analytical, and problem-solving skills.
- Ability to work independently while managing multiple priorities.
- Reliable high-speed internet and a dedicated home office workspace.
Preferred Qualifications
- Experience with physician or specialty practice billing.
- Experience using PM and EMR systems.
- Experience with eClinicalWorks, AdvancedMD, NextGen, or similar software.
- Experience with clearinghouses, payer portals, and EDI/ERA transactions.
- Working knowledge of CPT, ICD-10, and HCPCS coding.
Productivity Expectations
- Resolve a minimum of 35 claims per day during onboarding.
- Increase productivity to 50 or more claims per day after training while maintaining quality and accuracy.
Ideal Candidate
- Takes ownership of work and follows claims through to resolution.
- Is persistent when working insurance denials and underpayments.
- Enjoys researching payer policies and finding solutions.
- Communicates effectively with insurance representatives.
- Learns quickly and adapts to changing payer guidelines.
- Works well independently and collaboratively in a remote team.
- Has excellent attention to detail.
Benefits & Perks
Benefits
- Dental insurance
- Flexible schedule
- Paid time off
- Vision insurance
Location
Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 weeks ago
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