AR follow up Executive US Healthcare

Core responsibilities

Call insurance companies : Make outbound calls to insurance to follow up on outstanding claims.

Resolve claim issues : Investigate and resolve denied or underpaid claims, including reviewing Explanation of Benefits (EOBs).

Ensure timely payment : Work to ensure claims are paid on time, which includes correcting errors and appealing denials.

Maintain records : Keep accurate and detailed records of all communication and claim statuses in the billing system.

Collaborate internally : Work with internal teams (like medical billing and coding) to resolve discrepancies and improve processes.

Stay updated : Maintain up-to-date knowledge of insurance policies, procedures, and regulations.

Meet targets : Work towards meeting daily and monthly accounts receivable collection goals.

Required skills and qualifications

Atleast 1-3 years experience in AR calling US Healthcare.

Candidates worked into end to end RCM domain highly preferred.

Strong communication skills (verbal and written).

Excellent organizational and time management skills.

Detail-oriented with strong follow-up abilities.

Familiarity with medical billing, revenue cycle management, and healthcare software is often preferred.

Knowledge of insurance guidelines and reimbursement processes.

Problem-solving and analytical skills.

Skills Required

Medical Billing, Revenue Cycle Management