Behavioral Health AR & Denial Review Project
We're looking for a medical billing and RCM specialist to review a sample behavioral health AR and denial workflow and create a structured recommendations report. Scope of work:
- Review sample AR aging by payer and aging bucket
- Identify common denial categories
- Review unpaid claims and follow-up workflow
- Recommend appeal, corrected claim, or write-off criteria
- Identify preventable denial patterns
- Create a simple AR cleanup tracker
- Provide a summary of recommended workflow improvements
Ideal background:
- Behavioral health billing experience
- Denial management
- AR follow-up
- Payer portal familiarity
- Strong documentation skills
Skills required:
- Accounts Receivable (AR) analysis
- Denial and rejection management
- Medical billing and coding fundamentals
- Insurance verification and eligibility review
- Claim submission and follow-up processes
- Payer communication and portal navigation
- Data analysis and reporting
- Workflow assessment and process improvement
- Attention to detail and accuracy
- Spreadsheet management (Excel or Google Sheets)
Deliverable: A written AR/denial review summary with priority findings, recommended next steps, and a basic tracking template.