RCM AR Specialist

Allergy Partners PLLC

RCM AR Specialist following up on claim denials and overdue insurance balances using EOB documents. Supporting the field related to claim denials for assigned book of business.

Posted 7/28/2026full-timeRemote • North Carolina • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medical Billing and Collections, with a strong understanding of the insurance billing process, including CPT and ICD-10 coding. Proficient in managing payer correspondence and maintaining relationships with insurance carriers while ensuring timely follow-up on claims.

Highest-signal resume keywords

Medical Billing And CollectionsCPT And ICD-10 CodingInsurance Billing ProcessPayer Correspondence ManagementStrong Written And Verbal Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingClaims ProcessingCPT CodingICD-10 CodingInsurance Claims Status InquiryExplanation Of Benefits UnderstandingContract Rate Variance AppealsPractice Management Software KnowledgeMicrosoft Processing SoftwareManaged Care Knowledge

Soft Skills

Strong Communication SkillsRelationship BuildingProblem Solving

Tools & Technologies

Practice Management SoftwareEmail ApplicationsInternet Applications

Industry Keywords

Medical BillingCollectionsMedicareMedicaidCommercial InsuranceManaged Care

About the role

Key responsibilities & impact

Follows up on denied claims and no response within a timely manner
Submits appeals related to contract rate variances with a discrepancy in allowed amounts
Submit Medical Records when requested by the payer for claims processing determination
Monitor and review Payer correspondence from the lockbox and faxes
Monitor, review, and respond to Hub (field) communication inquiries within the 48-hour requirement
Calls payers or looks up claims status online to inquire about unpaid insurance claims
Maintains detailed knowledge of practice management and other computer software as it relates to job functions
Responds to written and telephone inquiries from insurance companies
Builds and Maintain relationships with personnel from assigned carriers
Meets with Pod Lead/Supervisor regularly to discuss and solve reimbursement and insurance follow up concerns.

Requirements

What you’ll need

High school diploma or GED equivalent, required
Previous Medical Billing and Collections experience preferred
Preference for those with a minimum of eighteen months experience
Comfortable using email and interacting with Internet applications
Knowledge of practice management and Microsoft processing software
Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process
Working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement
Basic knowledge of CPT and ICD-10 coding
Strong written and verbal communication skills.

Benefits

Comp & perks

Continuing education courses as requested
Participation in education to remain current with changes in the Healthcare industry
Complies with Allergy Partners and respective hub/department policies