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
Snapscale is a healthcare services company that supports US-based clinics and physicians by providing remote customer service and patient coordination solutions. The company specializes in bilingual patient support, handling administrative tasks such as insurance verification, appointment scheduling, patient enrollment, and EMR/EHR management. Snapscale serves as a key operational support partner for healthcare providers, enabling them to deliver better patient experiences through dedicated, multilingual customer service representatives.
