Accounts Receivable Executive

Altos

2 - 4 years

4 - 6 Lacs

noida

Posted:1 day ago| Platform:

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Skills Required

accounts receivable nextgen ar calling medisoft software us healthcare denial management rcm

Work Mode

Hybrid

Job Type

Full Time

Job Description

AR Executives or Sr. AR Executives

Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.
To prioritize the pending claims for calling from the aging basket.
Should be able to convince the claims company (payers) for payment of their outstanding claims.
To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.
Reviewing EOB denials received from insurance carriers and taking proper action.
To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
Escalate difficult collection situations to management in a timely manner.
Review provider claims that have not been paid by insurance companies.
Handling patients billing queries and updating their account information.
Meeting daily/weekly and monthly targets set for an individual.
Improving medical billing cashflow by resolving denials for Commercial insurance, Medicare, and Workers Comp billing.
Correcting and resubmitting claims with the insurance carriers.
Documenting all communications with insurance carriers in our proprietary software to properly maintain a claim history.
Analyzing and summarizing aging data to work efficiently and effectively.
Work closely with the AR Manager to discuss denial trends and/or billing issues causing denials.

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