SME - AR Calling

As a Subject Matter Expert (SME) in medical billing, insurance follow-ups, and claim resolutions, your role is crucial in ensuring efficient cash flow and reducing outstanding Accounts Receivable (AR) days. Your deep expertise in these areas will be instrumental in the success of the organization. Key Responsibilities: - Monitor and manage the AR process, which includes claim submissions, follow-ups, and appeals. - Ensure timely follow-up on unpaid claims, denials, and appeals with insurance companies. - Analyze aging reports and take necessary actions to reduce outstanding receivables. - Analyze and categorize denials to identify trends and root causes. - Collaborate with clients and insurance providers to resolve recurring denial issues. - Serve as a point of contact for clients, insurance providers, and internal stakeholders. - Provide regular reports on AR performance, collections, and outstanding receivables. Qualifications Required: - Prior experience in Emergency Medical Services (EMS) will be considered an advantage. - Excellent analytical, problem-solving, and communication skills are essential. - Experience in working with aging reports, denials, and appeals processing is required. Key Measurable Goals: - AR Aging Reduction - Denial Resolution Rate - Escalation Resolution Rate Your expertise and attention to detail will be critical in meeting these key measurable goals and ensuring the financial health of the organization. As a Subject Matter Expert (SME) in medical billing, insurance follow-ups, and claim resolutions, your role is crucial in ensuring efficient cash flow and reducing outstanding Accounts Receivable (AR) days. Your deep expertise in these areas will be instrumental in the success of the organization. Key Responsibilities: - Monitor and manage the AR process, which includes claim submissions, follow-ups, and appeals. - Ensure timely follow-up on unpaid claims, denials, and appeals with insurance companies. - Analyze aging reports and take necessary actions to reduce outstanding receivables. - Analyze and categorize denials to identify trends and root causes. - Collaborate with clients and insurance providers to resolve recurring denial issues. - Serve as a point of contact for clients, insurance providers, and internal stakeholders. - Provide regular reports on AR performance, collections, and outstanding receivables. Qualifications Required: - Prior experience in Emergency Medical Services (EMS) will be considered an advantage. - Excellent analytical, problem-solving, and communication skills are essential. - Experience in working with aging reports, denials, and appeals processing is required. Key Measurable Goals: - AR Aging Reduction - Denial Resolution Rate - Escalation Resolution Rate Your expertise and attention to detail will be critical in meeting these key measurable goals and ensuring the financial health of the organization.