Job Description
Job Description Job Description Position Overview The AR Follow-up & Denial Management Specialist is responsible for the timely resolution of unpaid, underpaid, and denied medical claims to maximize reimbursement and reduce accounts receivable (AR) aging. This role analyzes denials, identifies root causes, and drives corrective actions including claim resubmissions, appeals, and payer follow-up. T
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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