Senior Ar Caller

About the Role:

We are seeking an experienced and detail-oriented AR Denials Management Specialist to join our Revenue Cycle Management team. The ideal candidate will have a strong background in denials resolution, accounts receivable follow-up, and payer communication with hands-on experience in both professional (physician) and hospital billing. You will play a key role in reducing denials, accelerating cash flow, and improving revenue cycle performance by identifying root causes and driving successful claim resolution.

Key Responsibilities:

• • Denial Management & Resolution
• • Analyze, prioritize, and resolve denied or underpaid claims from payers for both professional and hospital billing accounts.
• • Investigate root causes of denials and execute corrective actions for timely reimbursement.
• • Appeal incorrect denials with appropriate documentation and follow through until resolution.
• • Perform proactive follow-up on outstanding claims with payers via phone, portals, or written correspondence.
• • Ensure compliance with payer-specific requirements and timely filing deadlines.
• • Documentation & Reporting
• • Accurately document denial reasons, follow-up actions, and appeal outcomes in the billing system.

Required Qualifications:

• • Education: Bachelors degree preferred (or equivalent healthcare revenue cycle experience).
• • Experience: 1–5+ years of AR follow-up and denials management experience in a healthcare RCM environment.
• • Strong knowledge of CPT, ICD-10, HCPCS codes, modifiers, and payer billing guidelines.
• • Hands-on experience with professional (physician) and hospital billing workflows.
• • Familiarity with EOBs, remittance advices, and denial codes (CARC/RARC).
• • Proficiency in healthcare billing software / EHR systems (e.g., Epic, Athena, NextGen, Meditech, etc.).
• • Excellent written and verbal communication skills with strong analytical and problem-solving abilities.

Preferred Skills:

• • Experience working with Medicare, Medicaid, and commercial payers.
• • Strong understanding of payer appeal processes and reimbursement methodologies.
• • Ability to work in a fast-paced, target-driven environment and manage multiple priorities.
• • Knowledge of HIPAA compliance and patient confidentiality standards.

Why Join Us:

• • Competitive salary and performance-based incentives.
• • Opportunities for career growth within the RCM domain.
• • Collaborative team culture focused on innovation and continuous improvement.
• • Exposure to diverse payer systems and complex billing scenarios.