AR Executive

Key Responsibilities

• AR Calling: Conduct outbound calls to insurance companies and healthcare payers to follow up on unpaid or denied claims, seeking clarification and resolution.
• Claim Follow-Up: Track and monitor the status of claims, ensuring timely follow-up and escalation as needed to expedite payment.
• Dispute Resolution: Investigate and resolve claim denials or underpayments by analyzing explanations of benefits (EOBs) and payer correspondence.
• Documentation: Maintain detailed records of all communication with payers, including notes on claim status and resolution actions.
• Reporting: Generate and review AR reports to identify trends, track outstanding receivables, and monitor performance metrics.
• Compliance: Ensure all activities comply with healthcare regulations, payer policies, and internal guidelines.
• Customer Service: Provide exceptional support to healthcare providers and internal teams, addressing inquiries and providing updates on claim status.
• Process Improvement: Identify opportunities for process improvements and contribute to the development of best practices for accounts receivable management.

Qualifications:

• Experience: 1-5 years of experience in accounts receivable management or AR calling within the US healthcare industry.
• Knowledge: Strong understanding of medical billing processes, payer policies, and healthcare claim codes (CPT, ICD-10, HCPCS).
• Skills: Excellent communication skills, with the ability to effectively negotiate and resolve issues over the phone.
• Technical Proficiency: Proficient in medical billing software, AR management systems, and MS Office applications.
• Detail-Oriented: Strong attention to detail and accuracy in managing and documenting accounts receivable activities.
• Education: Any degree preferred with Good communication and Domain Knowledge