





Common AR/billing role with generalist skills in a mid-tier employer increases candidate competition.
Requires specialized medical billing, payer negotiation, and denial management skills, limiting cross-industry transferability.
Requires domain-specific denial management and medical billing software proficiency, so moderately strict filters.
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Investigate and resolve complex denial issues including initiating and leading payer escalations.
Analyze denial trends and develop strategies to reduce denial rates and improve reimbursement.
Prepare and submit appeals for denied claims and mentor associates on advanced AR/Denial techniques.
Associate degree in healthcare administration or related field preferred.
Proficiency in medical billing software and denial tracking systems mandatory.
Strong problem-solving, analytical, and communication skills with payers required.
Work Experience Required: Not explicitly mentioned in the JD.
Experienced in advanced accounts receivable and denial management processes.
Capable of leading escalations and collaborating cross-functionally to address root causes.
Demonstrates leadership skills with ability to mentor others and work independently.