AR follow up Executive US Healthcare

Core responsibilities

Call insurance companies: Make outbound calls to insurance to follow up on outstanding claims.

Resolve claim issues: Investigate and resolve denied or underpaid claims, including reviewing Explanation of Benefits (EOBs).

Ensure timely payment: Work to ensure claims are paid on time, which includes correcting errors and appealing denials.

Maintain records: Keep accurate and detailed records of all communication and claim statuses in the billing system.

Collaborate internally: Work with internal teams (like medical billing and coding) to resolve discrepancies and improve processes.

Stay updated: Maintain up-to-date knowledge of insurance policies, procedures, and regulations.

Meet targets: Work towards meeting daily and monthly accounts receivable collection goals.

Required skills and qualifications

Atleast 1-3 years experience in AR calling US Healthcare.

Candidates worked into end to end RCM domain highly preferred.

Strong communication skills (verbal and written).

Excellent organizational and time management skills.

Detail-oriented with strong follow-up abilities.

Familiarity with medical billing, revenue cycle management, and healthcare software is often preferred.

Knowledge of insurance guidelines and reimbursement processes.

Problem-solving and analytical skills.