[Hiring] AR Denial Management Specialist @Limitlessli
Apr 07, 2025 - Limitlessli is hiring a remote AR Denial Management Specialist. 💸 Salary: industry standards applicable depending on work experience. 📍Location: Philippines.
Role Description
Are you an expert in navigating complex billing issues and passionate about ensuring timely payments? We're looking for a skilled AR Denial Management Specialist to support our team who support our East Coast-based US healthcare client. In this role, you'll tackle challenging billing problems, work closely with insurance companies, verify patient insurance details, and manage appeals and denied DME claims. You'll also stay up-to-date with the latest insurance regulations and utilize top EMR systems like Brightree. This position is remote and offers you the flexibility of working from home.
- Resolve complex billing issues to ensure providers receive full and timely payments
- Identify root causes of submission failures, underpayments, and payment delays
- Stay updated on insurance regulations and adapt to ongoing changes
- Coordinate and ensure timely and thorough follow-up with insurance companies
- Verify the accuracy of patient insurance and demographic information
- Adhere to specific guidelines for appeals submission and ensure timely and accurate follow-through on all appeals
- Review and process denied or rejected insurance and healthcare claims promptly
Qualifications
- At least 4 years of experience in accounts receivable (AR) and denial management
- Experience working with insurance companies
- Strong problem-solving skills to research and resolve discrepancies, denials, appeals, and collections
- Knowledge of insurance guidelines, including HMO, Medicare, Medicaid, and other commercial payers
- Experience with EMR systems such as Brightree is a plus
- Knowledge of health insurance and billing regulations, including CPT, ICD-10, and HCPCS codes
- Strong communication skills and the ability to work effectively in a team environment
- Effective phone communication skills for resolving issues with insurance payers
- Customer service skills for interacting with patients regarding medical claims and payments
Requirements
- You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection.
- You'll also be required to have a backup internet connection, ensuring that you're well-equipped to complete your work seamlessly.
Benefits
- We embrace the flexibility and convenience of a remote working environment.
- You will collaborate with an international team while contributing to our growing business, all from the comfort of your home.
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| 📍 | Be aware of the location restriction for this remote position: Philippines |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
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Salary
💸
industry standards applicable depending on work experience
|
Remote
Location
Philippines
|
|
Job Type
full-time
|
Posted
Apr 07, 2025
|
| 📍 | Be aware of the location restriction for this remote position: Philippines |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
