
AR Insurance Claim Resolutions Specialist
2 days ago
Responsible for contacting insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement and efficient revenue cycle management.
This process involves navigating complex billing and coding rules, with AR specialists playing a critical role in denial management and resolution.
Key Responsibilities- Follow-up and Resolution: Initiating calls to insurance companies to inquire about the status of denied claims, collaborating with patients to resolve issues promptly.
- Documentation: Maintaining thorough records of all interactions and follow-up actions, facilitating transparency and accountability.
- Re-submittal: Re-submitting claims with corrected information or appealing denials, ensuring seamless claim processing.
- Communication: Explaining denial reasons and ensuring patients understand the process, fostering trust and satisfaction.
- Increased Revenue: Recovering more revenue from claims through effective denial management and claim resolution.
- Reduced Turnaround Time: Speeding up the revenue cycle to improve cash flow and enhance business efficiency.
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SAP ISU System Resolution Specialist
3 days ago
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