AR Denial Management Specialist - Remote

Overview

Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities, connecting clients with highly qualified professionals.

In Short

• Expert in navigating complex billing issues.
• Support East Coast-based US healthcare client.
• Tackle challenging billing problems and work closely with insurance companies.
• Verify patient insurance details and manage appeals and denied DME claims.
• Stay updated with insurance regulations and utilize EMR systems like Brightree.
• Resolve complex billing issues for timely payments.
• Identify root causes of submission failures and payment delays.
• Coordinate follow-up with insurance companies.
• Adhere to guidelines for appeals submission.
• Review and process denied insurance claims promptly.

Requirements

• 4+ years of experience in accounts receivable and denial management.
• Experience working with insurance companies.
• Strong problem-solving skills for discrepancies and denials.
• Knowledge of insurance guidelines including HMO, Medicare, Medicaid.
• Experience with EMR systems like Brightree is a plus.
• Knowledge of billing regulations including CPT, ICD-10, HCPCS codes.
• Strong communication skills and team collaboration.
• Effective phone communication skills.
• Customer service skills for patient interactions.

Benefits

• Flexible remote working environment.
• Collaborate with an international team.
• Contribute to a growing business from home.
• Essential tools provided for productivity.
• Opportunity to work in the healthcare sector.