Accounts Receivable Specialist - RCM

As a Healthcare AR Follow-up Specialist, your role involves handling denial management by understanding reasons for denials, initiating corrective actions, and coordinating re-submissions. You will be responsible for maintaining detailed documentation of all communication and actions taken on accounts, working closely with billing and coding teams to resolve claim issues, and prevent recurring errors. Meeting daily and monthly targets for productivity, collections, and quality is crucial. It is essential to ensure compliance with HIPAA and company data security policies and communicate effectively regarding denial trends and suggestions to billing/coding teams. Key Responsibilities: - Handle denial management by understanding reasons for denials, initiating corrective actions, and coordinating re-submissions. - 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 and offer suggestions to billing/coding teams. Required Skills & Competencies: - Strong understanding of US healthcare billing, insurance, and reimbursement processes. - Experience with EOBs, ERAs, denials, rejections, and claim status follow-ups. - Familiarity with AdvancedMD Preferred (Optional). - Excellent verbal and written communication skills. - Good analytical, problem-solving, and time-management abilities. - Ability to work independently and meet deadlines in a fast-paced environment. Qualifications: - Bachelor's degree in any discipline (Commerce, Healthcare, or related field preferred). - Minimum 3-5 years of experience in US healthcare AR follow-up / RCM process. - Willingness to work night shifts (if applicable to US time zone). (Note: No additional details about the company were provided in the job description),