AR Caller (Denial Management)

As an Accounts Receivable Specialist with 1 to 3 years of experience in the healthcare sector, you will be responsible for the following: - Review and analyze denied claims to identify reasons for denial and develop effective resolution strategies. - Collaborate with internal teams, including billing, to gather necessary documentation for claim resolution. - Maintain detailed records of claim decisions, resolutions, and communications with insurance entities. - Systematically monitor outstanding claims and follow up to ensure timely denial resolution. - Identify denial trends and provide feedback to management to prevent future occurrences. - Assist in creating and implementing process improvements to enhance AR collections and denial management. - Prepare reports on the status of denials and resolutions to keep management informed of progress and areas needing attention. Qualifications and Skills: - Proven experience in accounts receivable (AR) calling, preferably within the healthcare sector, for 1 to 3 years. - Strong knowledge of denial management processes and the ability to investigate and resolve claim issues efficiently. - Excellent communication skills, both verbal and written, to effectively interact with insurance companies and internal teams. - Detail-oriented with a strong aptitude for data analysis and problem-solving. - Ability to work independently and collaboratively within a team to ensure timely resolutions of outstanding AR balances. - Proficiency in using billing software and Microsoft Office applications for documentation and reporting purposes. - Excellent time management skills to prioritize tasks and manage workload efficiently against deadlines.,