Dedicated Healthcare Role Profile
Medical Medical AR & Denial Follow-Up Virtual Assistant Specialist
Recover trapped cash flow and systematically resolve aging insurance claims with a full-time dedicated AR specialist executing your practice appeal workflows.
Core Daily Responsibilities & Tasks
- Working daily aging accounts receivable workqueues across 30, 60, 90, and 120+ day buckets.
- Calling commercial and government payers to investigate unpaid, pending, or underpaid claims.
- Analyzing denial reason codes (CARC/RARC) and identifying root cause billing discrepancies.
- Drafting formal redetermination requests and denial appeal packages per client SOPs.
- Re-submitting corrected claims with supporting medical records through clearinghouse systems.
The Model: What Is Handled Remotely vs. Directed by You
Handled by Dedicated Employee:
- Payer phone follow-ups
- Aging claim analysis (30-120+ days)
- Drafting denial appeal packets
- Corrected claim preparation
Directed by Your Practice:
- Authorizing contractual write-offs
- Providing signed clinical appeal letters
- Receiving direct insurer payments
- Setting bad-debt referral rules
Common EHR & Software Platforms
Our professionals have prior exposure or are trained to your specific configurations across:
Epic ResoluteathenaCollectorKareoWaystarAdvancedMDNextGen
Frequently Asked Questions
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