Must Have Skills :
- Hands-on experience with UB-04 (Facility / Hospital Billing)
- Strong knowledge of US Healthcare RCM
- Expertise in Denial Management, AR Follow-up, and Rejection Handling
- Confident in insurance calling and resolving claim issues
- Familiar with EOBs, payer portals, and clearing houses
Key Responsibilities :
Manage US Hospital / Facility Accounts ReceivableProcess claims, follow up with insurance companies, and resolve denials, rejections, LOAsHandle outbound calls to insurance providers and accurately document the call outcomesMeet daily and monthly collections and productivity targetsMaintain internal logs and communicate updates via emailEscalate complex or unresolved claims to the appropriate team or clientEnsure compliance with HIPAA and internal audit standardsSkills Required
Denial Management, EOBS, Compliance with HIPAA regulations