Accounts Receivable Specialist Denial Management

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Job Summary

Associates (AR Calling / Denial Management)

Key Responsibilities

Insurance Follow-Up

• Contact insurance companies via phone, email, or online portals to follow up on outstanding claims.
• Identify and resolve payment delays, denials, and underpayments.
• Verify claim status, appeal denied claims, and resubmit claims when necessary.
• Ensure timely and accurate resolution of all pending AR accounts.

Documentation & Reporting

• Maintain accurate and detailed records of all communications and claim activities.
• Update billing systems and account information with follow-up notes and payment details.
• Generate reports on AR status, aging trends, and collection metrics.
• Ensure complete and up-to-date documentation in accordance with organizational and compliance standards.

Compliance & Regulations

• Adhere to

  HIPAA

  guidelines to maintain patient confidentiality and data security.
• Stay updated on insurance policies, billing regulations, and industry changes affecting reimbursement.
• Ensure all processes align with internal compliance and payer guidelines.

Team Collaboration

• Collaborate with billing, coding, and collections teams to resolve payment discrepancies.
• Participate in team meetings and discussions to improve RCM workflows and efficiency.
• Contribute to process improvements and best practices for denial prevention and claim management.

Requirements

• 2.5–5 years of hands-on experience in

  AR Calling and Denial Management

  within

  US Healthcare

  .
• Mandatory experience with

  Epic Health Billing

  or

  Precision Billing

  systems.
• Strong understanding of

  medical billing

  ,

  insurance claims

  , and

  reimbursement methodologies

  .
• Proficiency in

  Microsoft Office

  and

  EHR/Billing software

  .
• Excellent verbal and written communication skills.
• High attention to detail with the ability to manage multiple priorities.
• Basic knowledge of

  medical coding (ICD-10, CPT)

  is a plus.

Apply on Varalakshmi.Y@livecjobs.com

7995831110