AR Denial Management & Appeals Specialist

We are looking for detail-oriented AR Denial Management & Appeals Specialists with hands-on experience in US healthcare denial management, Medical Records denials, appeals documentation, and reporting. This position requires strong knowledge of denial workflows, documentation requirements, appeals processes, and proficiency in Microsoft Excel and Google Sheets. This is a specialized role and not a regular AR calling or payment follow-up position.

Role & responsibilities:-

• Denial Management: Review and manage AR denials, identify denial types and root causes, and understand the appropriate resolution process for each denial.
• Medical Records (MR) Denials: Handle MR-related denials, understand supporting documentation requirements, and track the actions required for resolution.
• Appeals Management: Review appeal requirements, maintain supporting documentation, track appeal status, and monitor submission deadlines to ensure timely filing.
• Document Management: Upload scanned denial letters and relevant supporting documents to the appropriate patient records or designated systems, ensuring accuracy and completeness.
• Excel & Google Sheets Tracking: Create and maintain accurate spreadsheets to track denials, pending actions, appeal status, documentation requirements, and filing deadlines.
• Reporting & Documentation: Prepare, update, and share regular reports highlighting outstanding denials, pending tasks, upcoming deadlines, and required follow-up actions.
• Data Accuracy: Verify patient and denial-related information before updating records and ensure all documentation is properly organized and accessible.
• Operational Coordination: Coordinate with the relevant AR or operations team to communicate pending requirements, flag time-sensitive cases, and support action planning.

Preferred candidate profile:-

• Hands-on experience in US healthcare AR denial management.
• Practical knowledge of denial types, root-cause identification, and denial resolution workflows.
• Experience handling Medical Records (MR) denials and understanding documentation requirements.
• Working experience with appeals management, including supporting documents, follow-up steps, and filing deadlines.
• Proficiency in Microsoft Excel and Google Sheets, including formulas, filters, data organization, and tracking logs.
• Experience preparing and maintaining denial reports, pending-action trackers, and deadline-monitoring sheets.
• Strong attention to detail, organizational skills, and the ability to maintain accurate records.
• Good written and verbal communication skills.

Contact Details - Jagriti [phone removed], Amit [phone removed], Kanchan [phone removed] & Navneet [phone removed] from 10:00AM to 8:00PM. (Monday to Saturday).