AR/Denials Management - Revenue Cycle Management Specialist

We are seeking an Athena Specialist with experience in AR follow-up using the Athena Tool. The role involves working with insurance companies, healthcare providers, and patients to ensure claims are processed and paid. Key responsibilities include verifying insurance filing information, ensuring accurate patient registration data, preparing and transmitting claims (both electronic and paper), and following up on unpaid claims. The specialist will research and appeal denied claims, meet quality and productivity standards, and handle protected health information in compliance with HIPAA. Additional duties include checking eligibility and benefits, reviewing patient bills for accuracy, and understanding insurance guidelines such as HMO/PPO, Medicare, and state Medicaid. The role also requires performing eligibility verification and precertification, contacting insurance companies for claim status, reading superbills for charge entry, and posting ERA and EOB from various systems.