The Accounts Receivable Denial Representative (ARDR) position is responsible for validating and recording patient accounting denial information, resolving obstacles to payment after a denial is received, and effectively overturning denials by assigning accounts to appropriate internal and external resources. In this position the candidate will work with the Supervisor of Accounts Receivable Denials to track all denials, provide clarity on root cause, and ensure that hospital clients have consistent, repeatable information, and effectively worked denials. The ideal candidate must have 5 or more years of experience in the healthcare reimbursement industry primarily working with both Commercial insurance and Managed Care carriers. The Accounts Receivable Denial Representative must also possess a strong knowledge and understanding of all line of business contracts.
1-2 years of experience in a healthcare setting ( Hospital/Doctor's Office)
Abilty to review remits (EOB)
Must be able to understand denial reasons
Must be able overturn denials through the appeal process
Must navigate through multiple systems and handle high call volume.
nThrive is the leader in providing end-to-end revenue cycle services, technology and education solutions. Previously known as MedAssets, Precyse, Equation and Adreima, each formerly a leader in its own right, we’ve combined our talents and capabilities into a single enterprise. At nThrive, we are people who are passionate about empowering health care for every one in every community. We work together to transform financial and operational performance, enabling health care organizations to thrive.
nThrive is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.