Accounts Receivable (A/R) and Denial Management Specialist (athenahealth)
TypeFull-time job
LocationUnited States
Posted3 hours ago
This is a remote position.
Job SummaryRCM Staff BPO is hiring 2 full-time A/R and Denial Management Specialists to support a U.S. medical billing company that serves multi-specialty physician practices nationwide, with a large provider base in Ohio.The specialist will work claims and denials daily inathenaOneacross specialties such as cardiology, orthopedics, podiatry, retina, family medicine, OB/GYN and behavioral health. This role requires solid A/R and denial experience, such as strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.Key Responsibilities
Work a daily worklist in athenaOne, starting with new denials and payer correspondence, then open A/R prioritized by filing deadline, age and balance
Follow up with payers on unpaid and underpaid claims through payer portals and phone calls
Document claim status, call reference numbers and next steps on every account worked
Review denials, identify the root cause, and correct and resubmit claims
Prepare and submit reconsiderations and appeals, and track them through to a decision
Monitor timely filing and appeal deadlines so claims do not age out
Route coding, authorization and provider enrollment issues to the right team for resolution
Join scheduled meetings with the client team and send a daily end-of-shift summary of completed work and open items
Protect patient information and follow HIPAA requirements
Qualifications
At least 3 years of U.S. medical billing experience, focused on A/R follow-up and denial management
Hands-on experience working claims and denials in athenahealth (athenaOne)
Experience preparing and submitting appeals and reconsiderations
Familiarity with commercial insurance and government health plans, such as Medicare and Medicaid
Comfortable calling insurance companies and using payer portals for claim follow-up
Strong written and spoken English
Excellent attention to detail and follow-up skills
Ability to work independently and manage a high volume of accounts
Reliable internet connection and a suitable remote workspace
Preferred Qualifications
Experience working for a U.S. medical billing company that supports multiple client practices
Multi-specialty billing experience, especially cardiology, orthopedics, podiatry, ophthalmology/retina, OB/GYN or behavioral health
Familiarity with Ohio payers, including Ohio Medicaid managed care plans
Experience with Medicare Advantage plans and aged A/R cleanup projects
Schedule
Full-time position
Must be available for hours that overlap U.S. Eastern Time business hours (night shift, Philippine time) for meetings, real-time communication and payer calls
Final schedule will be determined based on client needs
Work Arrangement
Remote
Philippines-based applicants preferred
Originally posted on Himalayas
Job SummaryRCM Staff BPO is hiring 2 full-time A/R and Denial Management Specialists to support a U.S. medical billing company that serves multi-specialty physician practices nationwide, with a large provider base in Ohio.The specialist will work claims and denials daily inathenaOneacross specialties such as cardiology, orthopedics, podiatry, retina, family medicine, OB/GYN and behavioral health. This role requires solid A/R and denial experience, such as strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.Key Responsibilities
Work a daily worklist in athenaOne, starting with new denials and payer correspondence, then open A/R prioritized by filing deadline, age and balance
Follow up with payers on unpaid and underpaid claims through payer portals and phone calls
Document claim status, call reference numbers and next steps on every account worked
Review denials, identify the root cause, and correct and resubmit claims
Prepare and submit reconsiderations and appeals, and track them through to a decision
Monitor timely filing and appeal deadlines so claims do not age out
Route coding, authorization and provider enrollment issues to the right team for resolution
Join scheduled meetings with the client team and send a daily end-of-shift summary of completed work and open items
Protect patient information and follow HIPAA requirements
Qualifications
At least 3 years of U.S. medical billing experience, focused on A/R follow-up and denial management
Hands-on experience working claims and denials in athenahealth (athenaOne)
Experience preparing and submitting appeals and reconsiderations
Familiarity with commercial insurance and government health plans, such as Medicare and Medicaid
Comfortable calling insurance companies and using payer portals for claim follow-up
Strong written and spoken English
Excellent attention to detail and follow-up skills
Ability to work independently and manage a high volume of accounts
Reliable internet connection and a suitable remote workspace
Preferred Qualifications
Experience working for a U.S. medical billing company that supports multiple client practices
Multi-specialty billing experience, especially cardiology, orthopedics, podiatry, ophthalmology/retina, OB/GYN or behavioral health
Familiarity with Ohio payers, including Ohio Medicaid managed care plans
Experience with Medicare Advantage plans and aged A/R cleanup projects
Schedule
Full-time position
Must be available for hours that overlap U.S. Eastern Time business hours (night shift, Philippine time) for meetings, real-time communication and payer calls
Final schedule will be determined based on client needs
Work Arrangement
Remote
Philippines-based applicants preferred
Originally posted on Himalayas
Apply on Himalayas →
Job sourced from Himalayas. Applications happen directly on the original platform — we never collect your data.