AR Recovery & Denials Specialist

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