Denials & AR Recovery Specialist

The role

The Denials & AR Recovery Specialist owns the recovery of insurance revenue that does not get paid cleanly on the first pass. You will work denied and underpaid claims to resolution, file appeals, and follow up on aging accounts receivable.

What you will do

• Work daily queues of denied, rejected, and underpaid claims.
• Review remittances and interpret CARC and RARC denial codes.
• Prepare and submit payer-compliant appeals.
• Correct and resubmit claims with billing, coding, demographic, or eligibility errors.
• Monitor and work aging AR via portal, phone, and written correspondence.
• Identify and pursue underpayments against expected amounts.
• Escalate systemic payer issues to the RCM Lead.
• Categorize denials by reason, payer, provider, and CPT code.
• Partner with coding and billing team to fix denial causes upstream.
• Document all activity and report on denial rates and recovery metrics.

Required qualifications

• 2+ years of medical billing, claims, denials, or AR follow-up experience.
• Working knowledge of the full revenue cycle and of CPT, ICD-10, and HCPCS coding concepts.
• Ability to read remittances and act on CARC/RARC denial codes.
• Familiarity with payer portals, clearinghouses, and billing or practice-management systems.
• Comfort with spreadsheets for tracking, prioritizing, and reporting.
• Strong written communication for appeal letters.
• Persistence and attention to detail under deadline pressure.
• High school diploma or equivalent.

Nice to have

• Experience in telehealth, primary care, or a high-volume E&M billing environment.
• A billing or revenue cycle credential such as CPB (AAPC) or CRCR (HFMA).
• A coding credential (CPC) is a plus.
• Associate or bachelor's degree in healthcare administration, business, or a related field.
• Experience identifying denial trends and driving upstream process fixes.

About the company

Mochi Health is a fast-growing telehealth company building an AI-driven marketplace to make healthcare discoverable and affordable. They combine clinical expertise with technology to connect patients to providers, transparent pricing, and medications.