Denials and AR Follow-Up Specialist

August 13

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Elevate and Delegate

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Description

• Manage denied insurance claims and ensure timely resolution of accounts receivable from home office. • Analyze and resolve denied insurance claims by reviewing medical records, coding, and payer contracts. • Generate effective written appeals for denied claims to maximize reimbursement. • Monitor aging reports and follow up on unpaid claims to ensure timely processing. • Identify trends and patterns in denials to proactively resolve recurring issues. • Collaborate with coding and billing teams remotely to address any discrepancies or issues. • Maintain detailed documentation of actions taken and communicate denial patterns to management. • Ensure compliance with HIPAA, CMS, and other regulatory requirements. • Assist in educating and training staff on denial management processes.

Requirements

• Experience in medical billing, AR follow-up, or denial management. • Strong knowledge of insurance billing processes, including Medicare, Medicaid, and commercial payers. • Proficiency in medical coding and familiarity with electronic health record (EHR) systems. • Excellent analytical and problem-solving skills, with the ability to work independently. • Strong communication skills, both written and verbal, with a focus on customer service. • High School Diploma or GED required; certification in medical billing or coding (e.g., CPC, CCS-P) preferred.

Benefits

• Client Relationship: You will be directly working with the client. This means that you will communicate with the client, provide services, and address any client-related matters independently. • Payment: All payments for your services will be handled directly by the client. Elevate and Delegate is not involved in processing your payroll. Your salary will directly go to you. • Vacation Leaves and Holidays: While we may have recommendations or guidelines regarding vacation leaves and holidays, the decision is entirely at the discretion of the client. You are expected to align your schedule with the client's business needs and any specific policies or preferences they may have in this regard.