Client Partner - Accounts Receivable

This role is for a dedicated Client Partner - Accounts Receivable , focusing on the crucial task of managing and resolving outstanding claims for US healthcare customers. The ideal candidate will possess strong analytical and communication skills, with a focus on maximizing revenue recovery and maintaining meticulous documentation.

Responsibilities

• Perform pre-call analysis and check claim status by calling the payer or utilizing IVR / web portal services.
• Maintain adequate documentation on client software, ensuring a clear audit trail and facilitating the submission of necessary documents to insurance companies.
• Record after-call actions and perform post-call analysis for effective claim follow-up.
• Assess and resolve inquiries, requests, and complaints through calling, striving for first-point resolution of customer inquiries.
• Provide accurate product / service information, research available documentation (including authorization, nursing notes, medical documentation on client systems), and interpret Explanation of Benefits (EOBs) before making calls.
• Conduct thorough analysis of accounts receivable (A / R) data to understand reasons for underpayment , days in A / R, and top denial reasons .
• Use appropriate codes for documentation of denial / underpayment reasons.

Skills

Qualifications

Skills Required

Accounts Receivable, Us Healthcare, Communication Skills, Call Management, Account Management, employee relationships