AR Recovery & Denials Specialist

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