AR Executive US Healthcare

Key Responsibilities

Claim Follow-Up: Monitor submitted claims, track unpaid or underpaid claims, and follow up with insurance companies to ensure payment.

Denial Management: Review denied insurance claims, determine the reason for denial, and initiate appeals or corrections to resolve the issue and secure payment.

Discrepancy Resolution: Investigate billing statement discrepancies, payment records, and other financial issues to resolve them accurately and efficiently.

Payer & Provider Coordination: Collaborate with insurance representatives and healthcare providers to resolve billing issues and streamline the payment process.

Essential Skills and Qualifications

Medical Billing Knowledge: A strong understanding of the U.S. healthcare revenue cycle, payer protocols, and medical billing terminology.

Denial Management Experience: Proven experience in reviewing Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to resolve claim denials.

Analytical & Problem-Solving Skills: The ability to analyze data, identify root causes of problems, and develop effective solutions for AR issues.

Communication Skills: Excellent written and verbal communication skills for professional interactions with insurance representatives, providers, and patients.

Minimum 1-2 years US healthcare domain AR calling experience.