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AR Specialist III at GENTIVA CERTIFIED HEALTHCARE CORP DBA KINDRED

, , -

Full Time

Start Date

Immediate

Expiry Date

04 May, 26

Salary

0.0

Posted On

03 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Denials Resolution, Coding-Related Appeals, Recoupment Management, Refund Management, Physician Billing Performance Improvement, CPT Coding, ICD-10 Coding, HCPCS Coding, Payer Policy Trends Analysis, Denial Pattern Reporting, EMR Documentation Review, Team Guidance, Independent Troubleshooting, Communication

Industry

Hospitals and Health Care

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The AR Specialist III is a senior-level position responsible for resolving complex insurance denials, performing coding-related appeals, managing recoupments and refunds, and supporting physician billing performance improvement. This position requires coding certification and extensive experience with payer policy trends and denial patterns. Essential Functions Analyze and resolve coding-related claim denials Trend and report denial patterns by provider, specialty, and market Communicate coding issues with AVP and suggest process improvements Guide team members in complex denial resolution Ensure accurate documentation and review of EMR to support appeal activity Collaborate with coding, management, and market leadership Knowledge/Skills/Abilities/Expectations Expert-level understanding of insurance denials and coding principles Proficiency in CPT, ICD-10, and HCPCS coding Effective communicator and mentor Capable of independent troubleshooting and documentation Education High school diploma or equivalent Licenses/Certifications Health Services\Certified Coder-AHIMA or AAPC Certified Professional Coder Upon Hire (Required) Experience 3+ years in physician billing with CPC certification (Required) Prior Experience in a Rural Health Clinic or Provider-Based Billing (Preferred)

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Responsibilities

This senior-level role is responsible for resolving complex insurance denials, managing coding-related appeals, and handling recoupments and refunds. The specialist will also analyze and report denial patterns and suggest process improvements to management.