Senior Payer Accounts Receivable Specialist

A company is looking for a Senior Payer Accounts Receivable Specialist.

Key Responsibilities

Monitor overall payer A / R performance, including aging trends, denial rates, and collection metrics

Serve as the primary liaison between internal leadership and outsourced billing partners for payer-related workflows

Review payer denials and correspondence to identify patterns and recommend process improvements

Required Qualifications

4+ years of experience in healthcare payer A / R or medical billing, preferably in an outpatient or multi-state environment

Strong understanding of EOBs, CARC / RARC codes, denial management, and payer reimbursement methodologies

Prior experience collaborating with or managing outsourced billing teams strongly preferred

Associate's or Bachelor's degree preferred; equivalent RCM experience considered

Proficiency in using electronic health record software (Athena preferred) and other relevant computer applications