Billing/Denial Management Specialist I

Who we are: At Arkana Laboratories, everyone has an important role to fill. Come join us and be a part of a team dedicated to making life better for those who need it most.

This place is packed with super-smart people who do their best work together. We work hard every day to advance our understanding of disease and provide world-class care to our patients in hopes of leaving our corner of the world a little better than we found it. While we are committed to improving the lives of thousands of patients, we never lose sight of the realization that they are the reason we get to create change in our field.

Built on generosity, teamwork, and the freedom to try new things, we take great pride in our work. Great ideas come from everywhere in this company and we celebrate each success and failure for the opportunity it gives us to keep reaching. For more than twenty years after our founder, Dr. Patrick Walker, wrote his goals on the back of a napkin, our people, culture, and values have remained strong.

About the Role:

We are looking for a Billing Specialist I to join our Revenue Cycle Management team. In this role, you will focus on denial management and claims resolution, working to identify root causes of denied claims and ensure timely corrections, appeals, and reimbursement. This position is ideal for someone who enjoys problem-solving, analyzing insurance denials, and improving billing processes while working in a collaborative healthcare environment.

What You’ll Do

Manage denied claims and appeals

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  Review denied claims and determine appropriate corrective action based on payer explanations and root cause analysis

  
  


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  Prepare and submit appeals, reconsiderations, and claim corrections to insurance carriers

  
  


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  Follow up on outstanding appeals and reprocessed claims to ensure timely resolution

  
  


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  Identify recurring denial trends and communicate findings to leadership

  
  

Analyze and improve billing processes

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  Perform root cause analysis on denied claims and report findings to the Revenue Cycle Quality Assurance and Billing leadership teams

  
  


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  Report insurance policy changes or billing issues discovered during denial analysis

  
  


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  Support ongoing improvements to denial management workflows and departmental procedures

  
  

Maintain billing system and LIS workflows

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  Create, update, and maintain remittance sets, crossovers, and appeal packages within the billing system

  
  


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  Use billing platforms, payer portals, and laboratory information systems (LIS) to research and resolve claim issues

  
  


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  Document all account activity accurately in the billing system and related tools

  
  

Respond to payer, client, and patient inquiries

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  Respond to questions from insurance carriers, patients, and clients regarding billing or claim status

  
  


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  Investigate insurance-related overpayments and coordinate refund requests when appropriate

  
  


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  Submit refund requests through the billing system with supporting documentation for accounts payable review

  
  

Support revenue cycle operations

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  Troubleshoot work items assigned through billing and denial management work queues

  
  


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  Correct accounts returned by the Billing/DM Team Lead for additional review or updates

  
  


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  Maintain organized electronic documentation and correspondence related to account activity

  
  


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  Attend team meetings and continuing education sessions as requested

  
  

Team collaboration

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  Participate in the development and improvement of revenue cycle processes and procedures

  
  


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  Support departmental initiatives aimed at improving billing accuracy and reimbursement performance

  
  


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  Perform other duties as assigned

  
  

Qualifications

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  High school diploma or equivalent required

  
  


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  2+ years of experience in medical billing, denial management, or revenue cycle operations

  
  


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  Experience working with insurance claims, appeals, and payer portals

  
  


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  Proficiency with Microsoft Office (Excel, Outlook, Word) and healthcare billing systems

  
  

Schedule: Monday-Friday 8am-5pm, onsite at the main office in Little Rock, Arkansas.

What we offer: We know that health is more than doctor visits and life is more than work. We work hard at Arkana but in turn provide competitive salaries and generous benefit offerings.

Specifically, we offer the following benefits to full-time employees:

• Competitive salary


• Generous paid time off and Paid Holidays


• Minimal cost health insurance for you and affordable options for your family


• 401(k) with immediate eligibility and match


• Company-paid life insurance


• Company-paid long term disability coverage


• Affordable vision and dental plans


• Flexible Spending Account or Health Savings Account availability


• Wellness plan and complimentary yoga classes


• Monthly in-office massages and employer-sponsored lunches

Please see Careers for further information.