Medical AR Denials and Edits Specialist

CorroHealth

. Ensure timely collections of outstanding government or commercial healthcare insurance receivables .

Posted 10/15/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare accounts receivable management, including proficiency in Medi-Cal and insurance billing processes. Capable of analyzing claims, resolving denials, and ensuring compliance with billing guidelines.

Highest-signal resume keywords

Accounts Receivable ExperienceMedi-Cal ExpertiseHealthcare Billing KnowledgeEOB InterpretationUB04 And HCFA 1500 Forms Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Accounts Receivable ManagementInsurance BillingClaims ProcessingEOB AnalysisClaim Denial ResolutionData EntryClinical Audit PreparationTechnical Appeals WritingContract ResearchPatient Eligibility Verification

Soft Skills

Strong Interpersonal SkillsAnalytical ThinkingCritical ThinkingProfessional CommunicationIndependent Work Ability

Tools & Technologies

OutlookExcelWordClient Systems

Industry Keywords

Healthcare Revenue CycleInsurance ReceivablesClaims Status MonitoringAuthorization ProtocolsBilling Guidelines

About the role

Key responsibilities & impact

Ensure timely collections of outstanding government or commercial healthcare insurance receivables
Follow up on outstanding accounts receivable for all payers, including self-pay, and resolve denials
Interact with insurance plans, patients, physicians, attorneys, and team members
Verify or obtain patient eligibility and healthcare service authorizations
Update patient demographics and insurance information in appropriate systems
Research and status unpaid or denied claims
Monitor claims for missing information, authorization, and control numbers (ICN/DCN)
Research EOBs for payments or adjustments to resolve claims
Contact payers by phone or written correspondence to secure claim payments
Access client systems to review payments, open claims, and related data
Follow prioritization, timely filing deadline, and notation protocols
Secure medical documentation requested by third-party insurance carriers
Research provider billing manuals for billing guidelines and requirements
Write appeal letters for technical appeals
Verify underpayments by researching contracts and claims data
Prepare claims for clinical audit processing in cases of authorization, coding, level-of-care, or length-of-stay denials
Report to the Manager, AR Services

Requirements

What you’ll need

3+ years of accounts receivable experience within the healthcare revenue cycle
Minimum of 2 years’ experience with Medi-Cal
2+ years of experience with healthcare and/or insurance billing and processing
Experience with professional physician and hospital facility claims
Ability to read and interpret an EOB
Knowledge and understanding of UB04 and HCFA 1500 forms
High School diploma
Proficiency with Outlook, Excel, and Word, including email, calendar, tasks, and basic formulas
Ability to communicate in a professional and clear manner
Strong interpersonal skills
Ability to work independently
Analytical and critical thinking skills
Ability to perform work at a computer terminal for 6–8 hours a day
Ability to lift and move material weighing up to 20 lbs. infrequently

Benefits

Comp & perks

Professional development and personal growth opportunities
Investment in team members’ long-term careers
Remote work arrangement