AR Recovery & Denials Specialist
TypeFull-time job
LocationIndia
Posted2 hours ago
Description
Job Position: Medical AR Recovery & Denials Specialist |
About the Role
We’re hiring a Medical AR Recovery & Denials Specialist to help us recover revenue, reduce aged AR, and stop preventable denials before they happen.
If you live for clearing 90+/120+ day buckets, love cracking payer rules, and can prove your impact with real numbers, we want you on the team.
Own aging reports and drive action on 90+ and 120+ day accounts
Investigate denials, prepare/submit appeals, and overturn them with payers
Track recovery metrics: % reduction in DSO, $ recovered, denial overturn rate
Identify root causes and partner with billing to prevent repeat issues
Billing Software & Revenue Technology
Work in major EHR/EMR platforms for follow-up, documentation, and posting
Use clearinghouses: Availity, Waystar, ClaimMD for claim status, ERA, and submissions
Navigate payer portals for eligibility, status, and appeal requirements
Build reports and dashboards in Excel using VLOOKUPs and pivot tables
Payer Knowledge & Compliance
Apply deep knowledge of Medicare, Medicaid, and commercial payer guidelines
Ensure appeals meet timely filing and payer-specific requirements
Support prior authorization follow-ups and flag PA-related denial trends
Medical Coding Literacy
Read and interpret ICD-10-CM, CPT, and HCPCS codes
Spot coding/modifier errors causing denials — e.g. Modifier 25, NCCI edits
Collaborate with coding team on education. Certified coder not required — code literacy is key
Recovery Work & Professionalism
Bring previous dedicated experience in medical AR recovery
Maintain stable work history and professional communication with payers + internal teams
Document everything clearly for audits and handoffs
Shift Time: 5.30 TO 2.30 AM ( +/- 1hrs)
Requirements
Requirements:
3+ years in medical AR recovery/denials. RCM, hospital, or physician practice experience preferred
Proven metrics: reduced DSO, recovered $ amounts, increased appeal success rate
Hands-on with EHR/EMR + Availity, Waystar, ClaimMD + payer portals
Advanced Excel: VLOOKUPs, pivot tables, data analysis for reporting
Strong grasp of Medicare, Medicaid, and commercial payer rules
Code-literate in ICD-10-CM, CPT, HCPCS. Ability to identify denial-driving errors
Detail-oriented, persistent, and excellent at professional written/verbal communication
Originally posted on Himalayas
Job Position: Medical AR Recovery & Denials Specialist |
About the Role
We’re hiring a Medical AR Recovery & Denials Specialist to help us recover revenue, reduce aged AR, and stop preventable denials before they happen.
If you live for clearing 90+/120+ day buckets, love cracking payer rules, and can prove your impact with real numbers, we want you on the team.
Own aging reports and drive action on 90+ and 120+ day accounts
Investigate denials, prepare/submit appeals, and overturn them with payers
Track recovery metrics: % reduction in DSO, $ recovered, denial overturn rate
Identify root causes and partner with billing to prevent repeat issues
Billing Software & Revenue Technology
Work in major EHR/EMR platforms for follow-up, documentation, and posting
Use clearinghouses: Availity, Waystar, ClaimMD for claim status, ERA, and submissions
Navigate payer portals for eligibility, status, and appeal requirements
Build reports and dashboards in Excel using VLOOKUPs and pivot tables
Payer Knowledge & Compliance
Apply deep knowledge of Medicare, Medicaid, and commercial payer guidelines
Ensure appeals meet timely filing and payer-specific requirements
Support prior authorization follow-ups and flag PA-related denial trends
Medical Coding Literacy
Read and interpret ICD-10-CM, CPT, and HCPCS codes
Spot coding/modifier errors causing denials — e.g. Modifier 25, NCCI edits
Collaborate with coding team on education. Certified coder not required — code literacy is key
Recovery Work & Professionalism
Bring previous dedicated experience in medical AR recovery
Maintain stable work history and professional communication with payers + internal teams
Document everything clearly for audits and handoffs
Shift Time: 5.30 TO 2.30 AM ( +/- 1hrs)
Requirements
Requirements:
3+ years in medical AR recovery/denials. RCM, hospital, or physician practice experience preferred
Proven metrics: reduced DSO, recovered $ amounts, increased appeal success rate
Hands-on with EHR/EMR + Availity, Waystar, ClaimMD + payer portals
Advanced Excel: VLOOKUPs, pivot tables, data analysis for reporting
Strong grasp of Medicare, Medicaid, and commercial payer rules
Code-literate in ICD-10-CM, CPT, HCPCS. Ability to identify denial-driving errors
Detail-oriented, persistent, and excellent at professional written/verbal communication
Originally posted on Himalayas
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