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Common RCM AR specialist role in a metro location with unspecified experience draws many qualified applicants.
Role demands healthcare revenue-cycle and payer-denial expertise, limiting transferability across industries.
Requires specific RCM claims, payer-denial, and AR skills but has no explicit years or certifications.
Manage and maximize accounts receivable collections for RCMS clients, focusing on recovery and ongoing account management.
Conduct detailed research, prepare appeals, and respond to insurance carriers to resolve medical insurance claims efficiently.
Drive the accounts receivable process to meet KPI targets, handling client, patient, and carrier communications and managing unpaid claims and denial resolutions.
Work Experience Required: Not explicitly mentioned in the JD.
Knowledge of medical insurance claims, appeals process, and accounts receivable management in healthcare settings.
Strong customer service skills for managing client and payer interactions via calls and correspondence.
Ability to handle complex denial management including secondary claim processing and monitoring of claims status and reconciliations.
Experienced in healthcare revenue cycle management with focus on claims follow-up, denial management, and accounts receivable optimization.
Operationally driven with ability to meet high-volume work goals (e.g., 1,400 accounts worked per month) and deliver error-free transactions.
Skilled in client communication and multitasking across multiple systems such as Clearinghouse, SharePoint, and various office management tools.