Medical AR Specialist - Denials

Norco•Meridian, ID

About The Position

Norco is seeking a Medical AR Specialist to manage accounts receivable billing and payment collection for designated payers and locations, supporting company goals. The role focuses on claim submission and rejection processing; denial management; collection of current and aged insurance receivables; account adjustments, audits, status changes, payment posting, refunds, and patient calls. The specialist researches denied claims, monitors receivables, verifies patient coverage, and processes denials and appeals within established timelines. Other tasks may be assigned as necessary.

Requirements

Knowledge of the insurance process, medical terminology, and coding.
Proficiency with Microsoft Outlook, Word, and Excel.
Ability to understand and remember accounting codes and use them appropriately.
Ability to perform basic mathematical calculations.
Ability to accurately enter data into computers and learn software applications required for the position.
Excellent problem-solving, public relations, verbal communication, and written communication skills.
Attention to detail and ability to perform multiple tasks.

Responsibilities

Research and resolve claims from the date of denial for assigned reason codes.
Monitor company accounts receivable balances and contact patients when collection issues are identified.
Post electronic and non-electronic payments.
Submit insurance claims and process rejected or denied claims by sending appeal and/or reconsideration letters.
Verify patient eligibility, coverage, and benefits, and identify authorization requirements.
Process claim denials within established company timelines for a variety of denial reason codes.
Work accounts receivable through reports, system programs, audits, and other methods.
Perform other tasks as assigned or necessary.