AR Calling - SME/GC (US Health Care)

As a Subject Matter Expert (SME) in medical billing, insurance follow-ups, and claim resolutions, your role involves providing deep expertise to ensure efficient cash flow and reduce outstanding Accounts Receivable (AR) days. Your responsibilities will include: - Monitoring and managing the AR process, which includes claim submissions, follow-ups, and appeals. - Ensuring timely follow-up on unpaid claims, denials, and appeals with insurance companies. - Analyzing aging reports and taking necessary actions to reduce outstanding receivables. - Analyzing and categorizing denials to identify trends and root causes. - Working with clients and insurance providers to resolve recurring denial issues. - Acting as a point of contact for clients, insurance providers, and internal stakeholders. - Providing regular reports on AR performance, collections, and outstanding receivables. Qualifications required for this role: - Education: Any Graduate - Experience: 5+ years - Specialties: Prior experience in Emergency Medical Services (EMS) will be an add-on advantage Essential Skills/Aptitude: - Excellent analytical, problem-solving, and communication skills. - Experience in working with aging reports, denials, and appeals processing. Key Measurables for your performance evaluation: - AR Aging Reduction - Denial Resolution Rate - Escalation Resolution Rate Please note that the above information is based on the provided job description.,