SME - AR Calling

The subject matter expert (SME) in this role is responsible for providing in-depth knowledge and expertise in medical billing, insurance follow-ups, and claim resolutions. By leveraging this expertise, you will play a crucial role in ensuring efficient cash flow and reducing outstanding accounts receivable (AR) days. Having prior experience in Emergency Medical Services (EMS) would be an additional advantage for this position. Your essential skills for this role include excellent analytical, problem-solving, and communication skills. You should also have experience in working with aging reports, denials, and appeals processing. Your key responsibilities will revolve around monitoring and managing the AR process, which includes claim submissions, follow-ups, and appeals. You will be tasked with ensuring timely follow-up on unpaid claims, denials, and appeals with insurance companies. Additionally, you will need to analyze aging reports to take necessary actions to reduce outstanding receivables. Categorizing denials to identify trends and root causes, working with clients and insurance providers to resolve recurring denial issues, and serving as a primary point of contact for clients, insurance providers, and internal stakeholders are also important aspects of this role. You will also be responsible for providing regular reports on AR performance, collections, and outstanding receivables. The key measurables for your performance in this role will be AR aging reduction, denial resolution rate, and escalation resolution rate.,