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We are looking for a skilled Medical Accounts Receivable Specialist to join our healthcare team in Saint Paul, Minnesota. This long-term contract position offers an opportunity to contribute to the efficient management of medical claims and accounts receivable processes. The ideal candidate will demonstrate expertise in resolving denied claims, supporting billing functions, and improving overall A/R performance.
Job Responsibility:
Analyze and address denied or rejected claims, ensuring proper resolution through appeals, resubmissions, or corrections
Investigate the causes of claim denials and implement corrective actions to prevent recurring issues
Draft and submit appeal letters in accordance with specific payer guidelines to recover underpaid amounts
Monitor accounts receivable aging buckets and prioritize claims to meet monthly resolution goals
Communicate with payers to obtain claim statuses and escalate unresolved issues for further attention
Research discrepancies in billed charges versus payer adjudication and resolve errors in collaboration with billing and coding teams
Correct inaccuracies in claims related to authorizations, coding, or documentation, ensuring compliance with regulatory guidelines
Maintain comprehensive records of follow-up actions and resolutions for denied claims
Utilize NX (MyAvatar) and Aura – Sigmund systems to review claim histories, encounter data, and account workflows
Generate detailed reports on denial trends and payer patterns to support process improvement initiatives
Requirements:
Proven experience in accounts receivable management within a healthcare or behavioral health setting
Strong knowledge of medical billing processes, including payer-specific requirements
Expertise in handling claim denials and appeals for commercial and government payers
Familiarity with electronic medical record systems and tools such as NX (MyAvatar) and Aura – Sigmund
Ability to identify discrepancies in billing and resolve authorization or coding-related issues
Excellent communication skills for interacting with payers and internal teams
Detail-oriented with the ability to maintain accurate documentation and reporting
Proficiency in using reporting tools to analyze A/R performance and identify improvement opportunities
What we offer:
medical, vision, dental, and life and disability insurance