Accounts Receivable Executive
20 hours ago
Summary:
As an AR Executive, you will be responsible for managing accounts receivable by following up with insurance companies to resolve unpaid or denied claims. You will ensure timely collections and help reduce outstanding AR in alignment with revenue cycle goals.
Key Responsibilities:
- Make outbound calls to insurance payers to check claim status and follow up on unpaid or underpaid claims.
- Investigate claim denials, underpayments, or rejections and take corrective actions including reprocessing or appeals.
- Interpret Explanation of Benefits (EOBs) and denial codes.
- Accurately document call notes, actions taken, and claim status in the billing system.
- Collaborate with team members or client billing departments to resolve complex issues.
- Achieve daily/weekly productivity and quality benchmarks (calls, resolutions, etc.).
Required Skills:
- Good spoken English and communication skills with a neutral accent.
- Knowledge of US healthcare terminology (e.g., CPT codes, ICD codes, EOBs).
- Familiarity with payers such as Medicare, Medicaid, and commercial insurances.
- Basic understanding of the end-to-end claim lifecycle in US RCM.
- Proficiency in using payer portals (e.g., Availity) and EHR/RCM software (e.g.,Tebra/Kareo, WeInfuse, Athena, eClinicalWorks, EPIC).
- Good working knowledge of Microsoft applications such as Outlook, Teams, Excel, Word, and MS PowerPoint.
Desired Attributes:
- Strong problem-solving and analytical skills.
- Ability to work independently and manage time effectively.
- Detail-oriented with a focus on accuracy and compliance.
- A collaborative team player with a commitment to achieving KPIs and collection targets.
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