Accounts Receivable Denials Specialist
AnswersNow
contract
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $28 per hour
About the role
- Denial Review and Resolution: Review and resolve denied insurance claims by contacting insurance carriers, researching denial reasons, and ensuring accurate billing and coding practices.
- Documentation and Appeal: Compile necessary documentation to support insurance appeals and collaborate with other departments to address editing, coding, and payment issues.
- Trend Analysis: Identify denial trends and work with billing and coding teams to implement process changes to prevent future denials.
- Follow-up and Communication: Maintain communication with insurance companies and patients to ensure accurate and timely payment.
- Compliance: Stay abreast of current insurance regulations and managed care contractual obligations.
- Customer Service: May assist with patient phone calls and customer service inquiries.
- Reporting: May be responsible for generating reports on denial trends and other relevant metrics.
- Cash Reconciliation/Payment Posting: Review and post electronic and manual payments from insurance carriers and patients, Perform reconciliation of bank deposits to posted payments.
Requirements
- At least 3 years of experience working insurance claim denials including Medicaid/Medicaid MCOs
- Reliable internet connection and private workspace
- Experience with Candid (preferred)
Benefits
- Fully remote – work from anywhere in the U.S.
- Flexible hours with an async-friendly team culture
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance claims denial resolutionbilling practicescoding practicesdocumentation compilationtrend analysisreport generationcash reconciliationpayment posting
Soft Skills
communicationcustomer servicecollaboration