AR executive US Healthcare
4 days ago
Key Responsibilities
Claim Follow-Up: Monitor submitted claims, track unpaid or underpaid claims, and follow up with insurance companies to ensure payment.
Denial Management: Review denied insurance claims, determine the reason for denial, and initiate appeals or corrections to resolve the issue and secure payment.
Discrepancy Resolution: Investigate billing statement discrepancies, payment records, and other financial issues to resolve them accurately and efficiently.
Payer & Provider Coordination: Collaborate with insurance representatives and healthcare providers to resolve billing issues and streamline the payment process.
Essential Skills and Qualifications
Medical Billing Knowledge: A strong understanding of the U.S. healthcare revenue cycle, payer protocols, and medical billing terminology.
Denial Management Experience: Proven experience in reviewing Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to resolve claim denials.
Analytical & Problem-Solving Skills: The ability to analyze data, identify root causes of problems, and develop effective solutions for AR issues.
Communication Skills: Excellent written and verbal communication skills for professional interactions with insurance representatives, providers, and patients.
Minimum 1-2 years US healthcare domain AR calling experience.
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