Revenue Cycle Specialist II – AR & Denials Follow-Up

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🔥 0 minutes ago

🦀 Maryland, Pennsylvania, +2 more states – Remote

🦀 Maryland – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 15%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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E.N.T.

WebsiteLinkedInAll Job Openings

2 - 10 employees

🏦 Banking

💸 Finance

Banking • Finance

E. N. T. is a member-owned credit union (doing business as Ent Credit Union and rebranding to Wings Credit Union) that provides retail and business banking products and services. Its offerings include checking and savings accounts, mobile and online banking, money market and certificate products, mortgages and home-equity lending, personal and auto loans, credit cards, business banking solutions (merchant services, payroll, ACH, remote deposit), financial education, and member-focused community programs. The organization emphasizes digital banking, financial coaching, and local member support while operating under NCUA insurance.

📋 Description

• Perform timely and thorough insurance accounts receivable follow-up on outstanding claims and balances • Monitor claim status and contact insurance carriers to resolve unpaid, underpaid, and denied claims • Research and work denials, reconsiderations, appeals, and payer requests for additional information or medical records • Identify root causes of claim denials and determine appropriate resolutions • Review claim history, payments, adjustments, charges, and account activity in the EHR • Review and interpret insurance correspondence, EOBs, remittance information, and payer responses • Coordinate with providers and internal departments to obtain information, documentation, coding clarification, or other action • Maintain accurate documentation of AR follow-up activity and payer communications • Follow HIPAA requirements when handling patient information and medical records • Enter and maintain account and claim information in the computer system • Work assigned AR inventory according to priorities, productivity expectations, and follow-up timeframes • Respond to account correspondence and payer inquiries • Provide customer service to patients and families regarding insurance balances • Work independently and as part of a team to meet departmental goals • Maintain confidentiality of patient and company information • Perform other related duties as assigned

🎯 Requirements

• Minimum of 3–5 years of hands-on experience in medical insurance AR follow-up • Demonstrated experience with insurance claim follow-up, denials, reconsiderations, and appeals • Strong understanding of insurance payer requirements, claim processing, timely filing, authorizations, eligibility, coding-related denials, medical records requests, and common reimbursement issues • Experience researching unpaid and denied claims, determining the appropriate next action, and documenting follow-up activity accurately • Ability to work independently and manage a high-volume AR workload while meeting established productivity and quality expectations • High School education level • ENT experience preferred, not required • Applicants must currently reside in Texas, Maryland, Virginia, or Pennsylvania