AR Follow up & Denial Management RCM Agent
Mississippi Department of Employment Security, Clarksdale, MS, United States
Overview
The Accounts Receivable Follow-up & Denial Management Revenue Cycle Management Agent is responsible for timely resolution of unpaid and denied medical claims to maximize reimbursement and reduce AR aging. The role involves payer follow-ups, denial analysis, claim corrections, and appeal submissions while ensuring compliance with U.S. healthcare billing regulations. Responsibilities
Follow up on unpaid, underpaid, and denied claims with commercial, Medicare, and Medicaid payers Analyze denials, identify root causes, correct claims, and submit resubmissions or appeals Communicate with payers and internal teams (coding, billing, authorization) to resolve issues Maintain accurate documentation and comply with HIPAA and payer guidelines Meet productivity, accuracy, and turnaround time targets Required Experience & Skills
3+ months of experience in AR Follow-up and/or Denial Management (U.S. healthcare RCM) Strong knowledge of claim life cycle, denial codes (CARC/RARC), and AR aging Working knowledge of EOB/ERA interpretation Experience with EMR/EHR, PM systems, and payer portals Strong analytical, communication, and documentation skills Key KPIs
AR days reduction Denial overturn rate First-pass resolution rate Net collection rate Productivity and quality scores Pay: $15 Benefits
Benefits include medical insurance, paid leave and holidays, and a 401K
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The Accounts Receivable Follow-up & Denial Management Revenue Cycle Management Agent is responsible for timely resolution of unpaid and denied medical claims to maximize reimbursement and reduce AR aging. The role involves payer follow-ups, denial analysis, claim corrections, and appeal submissions while ensuring compliance with U.S. healthcare billing regulations. Responsibilities
Follow up on unpaid, underpaid, and denied claims with commercial, Medicare, and Medicaid payers Analyze denials, identify root causes, correct claims, and submit resubmissions or appeals Communicate with payers and internal teams (coding, billing, authorization) to resolve issues Maintain accurate documentation and comply with HIPAA and payer guidelines Meet productivity, accuracy, and turnaround time targets Required Experience & Skills
3+ months of experience in AR Follow-up and/or Denial Management (U.S. healthcare RCM) Strong knowledge of claim life cycle, denial codes (CARC/RARC), and AR aging Working knowledge of EOB/ERA interpretation Experience with EMR/EHR, PM systems, and payer portals Strong analytical, communication, and documentation skills Key KPIs
AR days reduction Denial overturn rate First-pass resolution rate Net collection rate Productivity and quality scores Pay: $15 Benefits
Benefits include medical insurance, paid leave and holidays, and a 401K
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