AR Recovery & Denials Specialist
Core
Recover revenue by investigating and overturning medical claim denials, managing aged accounts receivable, and reducing days sales outstanding (DSO) for healthcare payers.
Role type
Senior IC medical AR recovery and denials specialist
Builds
Revenue recovery actions, appeal submissions, and denial prevention reports
Domain
Healthcare revenue cycle management (RCM)
Required skills
Medical AR recovery, denial investigation, payer appeals, aging report management, root cause analysis, Medicare/Medicaid/commercial payer rules, ICD-10-CM/CPT/HCPCS code literacy, EHR/EMR navigation, clearinghouse usage (Availity, Waystar, ClaimMD), payer portal navigation, advanced Excel (VLOOKUPs, pivot tables)
Preferred skills
RCM, hospital, or physician practice experience, prior metrics of reduced DSO and increased appeal success
Technologies
EHR/EMR platforms, Availity, Waystar, ClaimMD, Excel (via careerplan.io/jobs/C9-006-EC-07F-ar-recovery-denials-specialist)
Responsibilities
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 including % reduction in DSO, $ recovered, and denial overturn rate; Identify root causes and partner with billing to prevent repeat issues; Read and interpret medical codes to spot denial-driving errors; Maintain stable work history and professional communication with payers and internal teams
Seniority
Mid-level, hands-on IC
