AR Recovery & Denials Specialist

Description

Job Position: Medical AR Recovery & Denials Specialist |

About the Role

We’re hiring a Medical AR Recovery & Denials Specialist to help us recover revenue, reduce aged AR, and stop preventable denials before they happen.

If you live for clearing 90+/120+ day buckets, love cracking payer rules, and can prove your impact with real numbers, we want you on the team.

• Own aging reports and drive action on 90+ and 120+ day accounts
• Investigate denials, prepare/submit appeals, and overturn them with payers
• Track recovery metrics: % reduction in DSO, $ recovered, denial overturn rate
• Identify root causes and partner with billing to prevent repeat issues

Billing Software & Revenue Technology

• Work in major EHR/EMR platforms for follow-up, documentation, and posting
• Use clearinghouses: Availity, Waystar, ClaimMD for claim status, ERA, and submissions
• Navigate payer portals for eligibility, status, and appeal requirements
• Build reports and dashboards in Excel using VLOOKUPs and pivot tables

Payer Knowledge & Compliance

• Apply deep knowledge of Medicare, Medicaid, and commercial payer guidelines
• Ensure appeals meet timely filing and payer-specific requirements
• Support prior authorization follow-ups and flag PA-related denial trends

Medical Coding Literacy

• Read and interpret ICD-10-CM, CPT, and HCPCS codes
• Spot coding/modifier errors causing denials — e.g. Modifier 25, NCCI edits
• Collaborate with coding team on education. Certified coder not required — code literacy is key

Recovery Work & Professionalism

• Bring previous dedicated experience in medical AR recovery
• Maintain stable work history and professional communication with payers + internal teams
• Document everything clearly for audits and handoffs

Shift Time: 5.30 TO 2.30 AM ( +/- 1hrs)

Requirements

Requirements:

3+ years in medical AR recovery/denials. RCM, hospital, or physician practice experience preferred

• Proven metrics: reduced DSO, recovered $ amounts, increased appeal success rate
• Hands-on with EHR/EMR + Availity, Waystar, ClaimMD + payer portals
• Advanced Excel: VLOOKUPs, pivot tables, data analysis for reporting
• Strong grasp of Medicare, Medicaid, and commercial payer rules
• Code-literate in ICD-10-CM, CPT, HCPCS. Ability to identify denial-driving errors
• Detail-oriented, persistent, and excellent at professional written/verbal communication