Healthcare Denial Management & AR Specialist AmeriHealth Services
AmeriHealth Services
Office Location
Full Time
Experience: 3 - 3 years required
Pay:
Salary Information not included
Type: Full Time
Location: All India
Skills: medical billing, denial management, Athena, written communication, HIPAA, Healthcare AR Collections, Insurance Claim Lifecycle, RCM workflows, EHRPM, Kareo, AdvancedMD, eClinicalWorks, DrChrono, Problemsolving, Specialty Billing, CMS Billing Rules, Audit readiness, AR Workflows, Denial Analytics
About AmeriHealth Services
Job Description
About the Role As a Denial Management & AR Specialist, you will be responsible for reviewing unpaid or underpaid claims, analyzing denial reasons, initiating appeals, and proactively reducing AR days through consistent and strategic follow-up. Key Responsibilities Research, correct, and resubmit denied or rejected claims in a timely and compliant manner. Proactively monitor aging AR reports and prioritize high-dollar and aged claims for follow-up. Collaborate with billing, coding, and credentialing teams to prevent future denials. Identify recurring denial trends and suggest workflow/process improvements to reduce denials. Assist in month-end reporting, cash reconciliation, and AR aging metrics. Required Qualifications 3+ years of experience in medical billing, denial management, or healthcare AR collections. Solid knowledge of insurance claim lifecycle, denial types, and RCM workflows. Proficiency in using EHR/PM or billing platforms (e.g., Kareo, AdvancedMD, eClinicalWorks, Athena, DrChrono, etc.). Excellent written communication skills for drafting appeals and reconsideration letters. High attention to detail, organization, and problem-solving ability. Preferred Qualifications Experience in specialty billing. Understanding of HIPAA, CMS billing rules, and audit readiness. Prior exposure to automated AR workflows or denial analytics platforms What Were Looking For A results-driven RCM professional with a passion for recovering revenue and improving billing operations. Someone who takes ownership of aged claims and pursues resolution with persistence and strategy. A problem solver who not only fixes errors but also looks upstream to prevent repeat denials. Someone who thrives in a fast-paced, remote, and collaborative work environment. Job Types: Full-time, Permanent, Contractual / Temporary Contract length: 12 months Benefits: Leave encashment Paid sick time Paid time off Work from home Schedule: Monday to Friday Night shift US shift Performance bonus Application Question(s): Are you familiar with US healthcare billing process What provider specialty have you worked before What billing systems do you have experience with Work Location: Remote,