Clinical Denials AR Specialist

Job Summary

A company is looking for a Complex Clinical Denials, AR Specialist 2.

Key Responsibilities

• Verify and obtain eligibility and authorization from insurance carriers
• Research and monitor unpaid or denied claims to secure payments
• Maintain patient confidentiality and perform related duties as required

Required Qualifications, Training, and Education

• 2-3 years of experience in medical collections, denials, and appeals
• Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI
• Familiarity with third-party billing guidelines and claim forms (UB04/1500)
• Experience with health information systems and Microsoft Word and Excel
• Understanding of payor contracts for both commercial and government insurance