Accounts Receivable Specialist - Rcm

Key Responsibilities :

• Perform AR follow-up with insurance companies via calls or web portals to check claim status and expedite payment.
• Handle denial management by understanding the reason for denials, initiating corrective actions, and coordinating re-submissions.
• Ensure timely and accurate posting of payments and adjustments on already paid claims.
• Maintain detailed documentation of all communication and actions taken on accounts.
• Work with billing and coding teams to resolve claim issues and prevent recurring errors.
• Meet daily and monthly targets for productivity, collections, and quality.
• Ensure compliance with HIPAA and company data security policies.
• Communicate effectively for any denial trends, suggestions to billing / coding.

Required Skills & Competencies :

Qualifications :