Job Information
Mississippi Employer AR Follow up & Denial Management RCM Agent in Clarksdale, Mississippi
Position Summary:
The Acounts Receivable Follow-up & Denial Management Revenue Cycle Management Agent is responsible for timely resolution of unpaid and denied medical claims to maximize reimbursement and reduce AR aging. The role involves payer follow-ups, denial analysis, claim corrections, and appeal submissions while ensuring compliance with U.S. healthcare billing regulations.
Key Responsibilities:
- Follow up on unpaid, underpaid, and denied claims with commercial, Medicare, and Medicaid payers
- Analyze denials, identify root causes, correct claims, and submit resubmissions or appeals
- Communicate with payers and internal teams (coding, billing, authorization) to resolve issues
- Maintain accurate documentation and comply with HIPAA and payer guidelines
- Meet productivity, accuracy, and turnaround time targets
Required Experience & Skills
- 3+ months of experience in AR Follow-up and/or Denial Management (U.S. healthcare RCM)
- Strong knowledge of claim life cycle, denial codes (CARC/RARC), and AR aging
- Working knowledge of EOB/ERA interpretation
- Experience with EMR/EHR, PM systems, and payer portals
- Strong analytical, communication, and documentation skills
Key KPIs:
- AR days reduction
- Denial overturn rate
- First-pass resolution rate
- Net collection rate
- Productivity and quality scores
*Pay: *
$15
Benefits:
Benefits include medical insurance, paid leave and holidays, and a 401K