Healthcare AR Specialist

Job Title:

Industry:

Employment Type:

Location:

Join a dynamic US healthcare revenue cycle team transforming AR operations. We're seeking seasoned Healthcare Accounts Receivable (AR) Specialists with deep expertise in both hospital and physician billing. If you're a denial-resolution pro who thrives on results and knows your way around top-tier EMR and RCM tools, this role is tailor-made for you.

Key Responsibilities

• Track and follow up on unpaid/denied claims using Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva.
• Investigate denials, correct errors, and prepare compelling appeals with documentation.
• Communicate with US payers and patients to resolve payment discrepancies.
• Analyze AR aging reports to optimize collections and minimize outstanding receivables.
• Maintain compliant, audit-ready documentation aligned with HIPAA and payer guidelines.
• Collaborate across coding, billing, and revenue cycle teams for seamless workflows.
• Prepare reports and KPIs to monitor performance and identify trends in denials.

Required Qualifications

• Minimum 3 years of experience in US medical AR with a strong track record in denial resolution and insurance follow-up.
• Hands-on experience in both hospital (UB04) and physician (CMS-1500) billing workflows.
• Proficient in EMR/RCM systems including Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva.
• Solid understanding of CPT, ICD-10, and HCPCS coding standards.
• Excellent communication, analytical, and time management skills.

Preferred Qualifications

• Bachelor’s degree in life sciences, healthcare, finance, or a related discipline.
• Certifications such as CMRS, CRCR, or similar.
• Experience with Medicare, Medicaid, and commercial payers.

Why Join Us?

• Join a high-performance team revolutionizing healthcare revenue cycles.
• Leverage industry-leading platforms and best practices.
• Gain in-depth exposure to advanced US RCM operations.
• Take advantage of continuous learning and career growth.

Note: This opportunity is exclusively for candidates with professional experience in Healthcare Accounts Receivable (AR). Applicants outside of this specialization will not be considered.