AR Specialist

Company Profile:

Pro Clinical Solutions LLP is a leading provider of medical billing services, dedicated to helping healthcare providers improve their revenue cycle management. We offer comprehensive solutions that include claim creation, submission, and follow-up to ensure timely and accurate reimbursement. Our team is committed to maintaining the highest standards of accuracy and compliance in all our processes. 

Designation:

Account Receivable (AR) Specialist 

Qualifications:

Education:

Experience:

Roles and Responsibilities:

• Work on denials and any piled-up claims that have not been followed up 
• Review all data related to claims for the entire year and analyze the claims. 
• Assess denied claims and communicate with insurance companies to resolve issues. 
• Re-submit corrected claims to insurance companies after addressing denials. 
• Check the status of claims to determine how many are recoverable and non-recoverable. 
• Provide regular reports on claim status, denial trends, and recovery rates. 
• Regularly follow up with insurance companies to ensure timely resolution and payment of claims. 

Skills:

• Strong knowledge of medical billing and coding. 
• Proficiency with medical billing software and electronic health records (EHR) systems. 
• Excellent attention to detail and analytical skills. 
• Good communication and organizational skills. 
• Strong problem-solving skills. 
• Familiarity with insurance guidelines and regulations