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Denials Resolution Specialist

Addictionrecoverycare · Ashland, KY, 41101 · Active · JazzHR / ApplyToJob

Job facts

FieldValue
CompanyAddictionrecoverycare
TitleDenials Resolution Specialist
Normalized title-
Department / team-
LocationAshland, KY, United States
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerJazzHR / ApplyToJob
Posted / first seen2026-04-13 / 2026-05-30
Changed / last seen2026-05-30 / 2026-06-06

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Company jobsActive postings from Addictionrecoverycare.Open
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ATS provider jobsActive postings observed through JazzHR / ApplyToJob.Open
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City jobsActive postings in Ashland.Open
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Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyAddictionrecoverycare
Sourcec5f6d8f4-788d-4f4f-a3b7-b90de8c26eb9
ATS providerJazzHR / ApplyToJob

Description

Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members?  ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “ The B.E.S.T. of ARC ” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship,  and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team!  Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements. Key Responsibilities Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Builds relationships with MCO. Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods. Anticipates potential areas of concern within the claim’s denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle. Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels. Carry out insurance appeals Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc. Establishes and maintains professional and effective relationships with peers and other stakeholders. Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues. Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues.  Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty. Depending on role and training, may be called upon to support other areas in the Revenue Cycle. Performs related duties as required. Key Experience and Education Needed: High school graduate or equivalent is required  Some college coursework is preferred Graduate from a post -high school certificate program in medical billing or another business-related field is preferred KNOWLEDGE/SKILLS/ABILITIES: Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities. Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions. Effective organizational and problem-solving skills are required Demonstrated ability with medical billing systems and third-party payment processes are required. Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate. Detail oriented Excellent keyboarding skills and experience with medical billing systems.   Substance abuse experience preferred. Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served  Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the job description which are related to work as a member of an addiction treatment team.  ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life’s needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies. Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.!         Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.

Full job record

Job IDf22e463bfa62856ee9bb8e8110ad0e2d331cb5f3
Org ID292f72a1-bfd8-477f-a40c-b021f9ab0d6c
Source IDc5f6d8f4-788d-4f4f-a3b7-b90de8c26eb9
Board IDc5f6d8f4-788d-4f4f-a3b7-b90de8c26eb9
Providerjazzhr
Provider Job Keyi1CiWJiCru
TitleDenials Resolution Specialist
Normalized Title—
Statusactive
Activeyes
Location TextAshland, KY, 41101
Department—
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionKY
CityAshland
Salary Raw—
Salary Min—
Salary Max—
Salary Currency—
Salary Period—
Source URLhttps://addictionrecoverycare.applytojob.com/apply/i1CiWJiCru/Denials-Resolution-Specialist
Apply URLhttps://addictionrecoverycare.applytojob.com/apply/i1CiWJiCru/Denials-Resolution-Specialist
First Seen At2026-05-30 06:06:30Z
Last Seen At2026-06-06 10:45:41Z
Last Checked At2026-06-06 10:45:41Z
Last Changed At2026-05-30 06:06:30Z
Inactive At—
Source Posted At2026-04-13 00:00:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=jazzhr/board=addictionrecoverycare/date=2026-06-06/2026-06-06T10-45-38-752Z-fff75109dc4ca1488d359b7a4fd8703e7f51a475cfff4c26ee743df6d6a783ee.json
Event Fields
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  "last_changed_at": "2026-05-30T06:06:30.894Z",
  "active_status": "active"
}
Parsed Structured
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Extensions
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Native Structured
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    "description_html": "<p style=\"line-height:1.38;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!</span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members?  ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky </span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">(and beyond!)</span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\"> in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny!</span></span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">ARC is ready to offer you “</span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:italic;\"><span style=\"text-decoration:none;\">The B.E.S.T. of ARC</span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship,  and stewardship are key elements of everything we do!</span></span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">We are hiring a Denials Resolution Specialist to our growing team! </span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\"> Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements.  </span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Key Responsibilities</span></span></span></span></span></span></span></p><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Builds relationships with MCO.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Anticipates potential areas of concern within the claim’s denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Carry out insurance appeals</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Assists with unusual, complex or escalated issues as necessary.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Has knowledge of, and is compliant with, government regulations including \"signature on file\" requirements, compliance program, HIPAA, etc.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Establishes and maintains professional and effective relationships with peers and other stakeholders.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues. </span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Depending on role and training, may be called upon to support other areas in the Revenue Cycle.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Performs related duties as required.</span></span></span></span></span></span></li></ul><p style=\"line-height:1.38;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Key Experience and Education Needed:</span></span></span></span></span></span></span></p><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">High school graduate or equivalent is required </span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Some college coursework is preferred</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Graduate from a post -high school certificate program in medical billing or another business-related field is preferred</span></span></span></span></span></span></li></ul><p style=\"line-height:1.2;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">KNOWLEDGE/SKILLS/ABILITIES:</span></span></span></span></span></span></p><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Effective organizational and problem-solving skills are required</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Demonstrated ability with medical billing systems and third-party payment processes are required.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Detail oriented</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Excellent keyboarding skills and experience with medical billing systems.  </span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Substance abuse experience preferred.</span></span></span></span></span></span></li></ul><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served </span></span></span></span></span></span></li></ul><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the job description which are related to work as a member of an addiction treatment team. </span></span></span></span></span></span></li></ul><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life’s needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies.</span></span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.!</span></span></span></span></span></span></span><br><br><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">        </span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:italic;\"><span style=\"text-decoration:none;\">Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer.</span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-left:15px;margin-right:27px;text-align:center;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:italic;\"><span style=\"text-decoration:none;\">ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.</span></span></span></span></span></span></span></p><br> ",
    "description_text": "Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!\n Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members?  ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny!\n ARC is ready to offer you “ The B.E.S.T. of ARC ” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship,  and stewardship are key elements of everything we do!\n We are hiring a Denials Resolution Specialist to our growing team!  Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements.\n Key Responsibilities\n Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status.\n Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.\n Builds relationships with MCO.\n Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods.\n Anticipates potential areas of concern within the claim’s denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle.\n Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels.\n Carry out insurance appeals\n Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides.\n Assists with unusual, complex or escalated issues as necessary.\n Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc.\n Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.\n Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.\n Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment.\n Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding.\n Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials.\n Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures.\n Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices.\n Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts.\n Has knowledge of, and is compliant with, government regulations including \"signature on file\" requirements, compliance program, HIPAA, etc.\n Establishes and maintains professional and effective relationships with peers and other stakeholders.\n Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues.\n Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues.\n Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty.\n Depending on role and training, may be called upon to support other areas in the Revenue Cycle.\n Performs related duties as required.\n Key Experience and Education Needed:\n High school graduate or equivalent is required\n Some college coursework is preferred\n Graduate from a post -high school certificate program in medical billing or another business-related field is preferred\n KNOWLEDGE/SKILLS/ABILITIES:\n Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities.\n Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations\n Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions.\n Effective organizational and problem-solving skills are required\n Demonstrated ability with medical billing systems and third-party payment processes are required.\n Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate.\n Detail oriented\n Excellent keyboarding skills and experience with medical billing systems.\n Substance abuse experience preferred.\n Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner\n Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served\n Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the job description which are related to work as a member of an addiction treatment team.\n ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life’s needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies.\n Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.!\n         Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer.\n ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.",
    "jsonld_jobposting": {
      "url": "https://addictionrecoverycare.applytojob.com/apply/i1CiWJiCru/Denials-Resolution-Specialist",
      "@type": "JobPosting",
      "title": "Denials Resolution Specialist",
      "@context": "http://schema.org/",
      "datePosted": "2026-04-13",
      "description": "<p style=\"line-height:1.38;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!</span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members?  ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky </span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">(and beyond!)</span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\"> in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny!</span></span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">ARC is ready to offer you “</span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:italic;\"><span style=\"text-decoration:none;\">The B.E.S.T. of ARC</span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship,  and stewardship are key elements of everything we do!</span></span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">We are hiring a Denials Resolution Specialist to our growing team! </span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\"> Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements.  </span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Key Responsibilities</span></span></span></span></span></span></span></p><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Builds relationships with MCO.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Anticipates potential areas of concern within the claim’s denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Carry out insurance appeals</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Assists with unusual, complex or escalated issues as necessary.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Has knowledge of, and is compliant with, government regulations including \"signature on file\" requirements, compliance program, HIPAA, etc.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Establishes and maintains professional and effective relationships with peers and other stakeholders.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues. </span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Depending on role and training, may be called upon to support other areas in the Revenue Cycle.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Performs related duties as required.</span></span></span></span></span></span></li></ul><p style=\"line-height:1.38;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Key Experience and Education Needed:</span></span></span></span></span></span></span></p><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">High school graduate or equivalent is required </span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Some college coursework is preferred</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Graduate from a post -high school certificate program in medical billing or another business-related field is preferred</span></span></span></span></span></span></li></ul><p style=\"line-height:1.2;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">KNOWLEDGE/SKILLS/ABILITIES:</span></span></span></span></span></span></p><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Effective organizational and problem-solving skills are required</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Demonstrated ability with medical billing systems and third-party payment processes are required.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Detail oriented</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Excellent keyboarding skills and experience with medical billing systems.  </span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Substance abuse experience preferred.</span></span></span></span></span></span></li></ul><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served </span></span></span></span></span></span></li></ul><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the job description which are related to work as a member of an addiction treatment team. </span></span></span></span></span></span></li></ul><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life’s needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies.</span></span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.!</span></span></span></span></span></span></span><br><br><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#0d0d0d;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">        </span></span></span></span></span></span></span><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-weight:400;\"><span style=\"font-style:italic;\"><span style=\"text-decoration:none;\">Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer.</span></span></span></span></span></span></p><p style=\"line-height:1.9871999999999999;margin-left:15px;margin-right:27px;text-align:center;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:11pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\"><span style=\"background-color:#ffffff;\"><span style=\"font-weight:400;\"><span style=\"font-style:italic;\"><span style=\"text-decoration:none;\">ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.</span></span></span></span></span></span></span></p><br> ",
      "jobLocation": {
        "@type": "Place",
        "address": {
          "@type": "PostalAddress",
          "postalCode": "41101",
          "addressRegion": "KY",
          "addressLocality": "Ashland"
        }
      },
      "validThrough": "2026-07-12",
      "uniqueJobCode": "job_20260413201317_OQEAOBP5P5RPXUHL",
      "employmentType": "FULL_TIME",
      "hiringOrganization": {
        "name": "Addiction Recovery Care",
        "@type": "Organization",
        "sameAs": "https://www.arccenters.com"
      },
      "experienceRequirements": "Experienced"
    }
  },
  "list_job": {
    "id": "i1CiWJiCru",
    "title": "Denials Resolution Specialist",
    "detailUrl": "https://addictionrecoverycare.applytojob.com/apply/jobs/details/i1CiWJiCru?&"
  },
  "detail_errors": []
}
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