RCM AR Specialist

Job Description: Review denied claims based on assigned markets, payers and work queues within our practice management system Accurately and efficiently processes requests for denied claims information using website portals and outbound phone calls for all Commercial, Medicare and Medicaid insurance payers Researches and responds to documentation requests from insurance carriers in a timely manner Processes appeals of insurance denials and follows-up until the appeal is resolved Obtains, reviews and updates patient demographics and insurance information within both EHR and practice management billing system as needed Complete timely follow-up on claims submitted to payer, but no response or ERA after 45 days to resolve any pending issues with claim and payer within timely filing limits Documents clear and concise activities performed in the system for each account worked Adheres to all HIPAA (Health Insurance Accountability and Portability Act) guidelines and regulations Ability to consistently maintain productivity and quality expectations as defined by the leadership team Alert management to irregularities, insurance trends and areas of concern with reimbursement Completes other tasks and projects as assigned by RCM Leadership Requirements: Bachelor's Degree or Equivalent experience 3 or more years of experience in physician group practice in a denial management role Prior experience resolving out of network denials, and value based (bundle) claims Proficient in CPT and ICD-10 coding terminology Enjoy working in a fast paced and rapidly changing environment Strong relationship building skills both external and internal Thrive on working independently Benefits: Were a recovery-friendly workplace that values family life, diversity, equity, and inclusion. Apply To this Job Company : Better Life Partners Salary : Work from home .