AR Recovery & Denials Specialist
职位描述：医疗 AR 恢复和拒绝专家。关于角色 我们正在聘请一个医学 AR 恢复与拒绝专业人员，帮助我们收回收入，减少老龄化 AR,并阻止可预防的拒绝之前发生。如果你生活在清除90+/120+天桶，喜欢破解付款人规则，并且可以通过实数证明你的影响，我们希望你成为团队成员。·拥有老龄化报告，并在90+和120+天账户上采取行动 ·调查拒绝，准备/提交投诉，并与付款者推翻它们 ·跟踪恢复指标：%降低 DSO,恢复，拒绝推翻率 ·识别根源原因和与结算合作伙伴以防止重复问题 发票软件和收入技术 · 在主要 EHR/EMR 平台上工作，以进行后续，文档化和发布 · 使用清算室：Availity,Waystar, ClaimMD 用于索赔状态，ERA 和提交信息 ·为符合条件，地位和呼吁要求导航付款人门户 ·使用 VLOOKUP 和重点表构建报告和仪表在 Excel 中使用付款人知识与合规 ·应用对医疗保险，医疗补助和商业支付人的指南的深入了解 ·确保申请及时提交和付款人特定要求 ·支持先前授权跟踪和 PA 相关拒绝趋势编码阅读能力 ·阅读 ICD-10-CM,CPCS 和 HPCS 代码 · 导致拒绝的点编码/修改器错误 例如 Modifier 25, NCCI 编辑 · 与编码团队合作在教育上。不需要认证的编码师 代码素养是恢复工作和专业化的关键 · 在医疗 AR 恢复方面带来以前的专门经验 ·与付款人+内部团队保持稳定的工作历史和专业沟通 · 对审计和交付的所有内容进行清晰记录 转勤时间：5.30到2.30AM （+/- 1小时）要求要求：3年以上的医学 AR 恢复/拒绝。优先获得 RCM,医院或医生实践经验 ·已证明的指标：减少 DSO,收回了美元数额，提高了上诉成功率 · 实践 EHR/EMR+Availity,Waystar,ClaimMD+支付人门户网站 ·高级 Excel:VLOOKUP,转向表格，报告数据分析 ·强有力的了解医疗保险，医疗补助和商业支付人的规则 ·ICD-10-CM,CPT,HCPCS 编码素质。识别拒绝驱动错误 ·详细的，持久的和专业书面/口头沟通优秀
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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
Originally posted on Himalayas