Revenue Cycle Specialist II – AR & Denials Follow-Up

E.N.T.

. Perform timely and thorough insurance accounts receivable follow-up on outstanding claims and balances .

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

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical insurance accounts receivable follow-up, including claim processing, denials, and appeals. Proficient in maintaining accurate documentation and ensuring compliance with HIPAA regulations while providing excellent customer service.

Highest-signal resume keywords

Medical Insurance Accounts Receivable Follow-UpClaim ProcessingDenials and Appeals ManagementHIPAA ComplianceHigh-Volume Workload Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Claim Follow-UpDenial ResearchReconsiderationsAppealsPayer Requirements UnderstandingCoding-Related DenialsMedical Records RequestsDocumentation AccuracyTimely FilingEligibility Verification

Soft Skills

Customer ServiceIndependent WorkTeam CollaborationAttention to DetailCommunication

Tools & Technologies

EHR SystemsComputer Systems

Industry Keywords

Accounts ReceivableInsurance CorrespondenceEOBsRemittance InformationPayer ResponsesConfidentialityProductivity ExpectationsTexasMarylandVirginia

About the role

Key responsibilities & impact

Perform timely and thorough insurance accounts receivable follow-up on outstanding claims and balances
Monitor claim status and contact insurance carriers to resolve unpaid, underpaid, and denied claims
Research and work denials, reconsiderations, appeals, and payer requests for additional information or medical records
Identify root causes of claim denials and determine appropriate resolutions
Review claim history, payments, adjustments, charges, and account activity in the EHR
Review and interpret insurance correspondence, EOBs, remittance information, and payer responses
Coordinate with providers and internal departments to obtain information, documentation, coding clarification, or other action
Maintain accurate documentation of AR follow-up activity and payer communications
Follow HIPAA requirements when handling patient information and medical records
Enter and maintain account and claim information in the computer system
Work assigned AR inventory according to priorities, productivity expectations, and follow-up timeframes
Respond to account correspondence and payer inquiries
Provide customer service to patients and families regarding insurance balances
Work independently and as part of a team to meet departmental goals
Maintain confidentiality of patient and company information
Perform other related duties as assigned

Requirements

What you’ll need

Minimum of 3–5 years of hands-on experience in medical insurance AR follow-up
Demonstrated experience with insurance claim follow-up, denials, reconsiderations, and appeals
Strong understanding of insurance payer requirements, claim processing, timely filing, authorizations, eligibility, coding-related denials, medical records requests, and common reimbursement issues
Experience researching unpaid and denied claims, determining the appropriate next action, and documenting follow-up activity accurately
Ability to work independently and manage a high-volume AR workload while meeting established productivity and quality expectations
High School education level
ENT experience preferred, not required
Applicants must currently reside in Texas, Maryland, Virginia, or Pennsylvania