Ar Executive

Job Summary

Key Responsibilities

• Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis.
• Understand the reason for rejection, denials, or no status from the payer.
• Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e., calling, IVR, web, or email.
• Take appropriate action to move the account towards resolution, including rebilling the claim, sending claims for reprocessing, reconsideration, redetermination, appeal
  

• Documentation of all the actions on the practice management system and workflow
  

• Ensure adherence to Standard Operating Procedures and compliance.
• Highlight any global trend/pattern and issue escalation with the leadership team.
• Meet the productivity and quality target on a daily/monthly basis.
• Upskill by learning new/additional skills and enhancing competencies. Active participation in all process/client-specific training and refresher training.
  

Requirements

• Undergraduate / Graduate in any stream with 2 to 4 years of experience in US Healthcare RCM for Account Receivable / Denial Management Resolution.
• Fluent communication, both verbal and written.
• Good analytical skills, attention to detail, and resolution-oriented.
• Should have knowledge about the RCM end-to-end cycle and proficiency in AR fundamentals and denial management.
• Basic knowledge of computers and MS Office.
  

Preferred Qualities

• Eagerness to learn and grow within the finance team.
• Ability to work both independently and collaboratively.
• Time management skills and ability to meet deadlines in a fast-paced environment.