Responsibilities
• Investigate and resolve claim denials, submitting appeals to insurance providers to ensure correct payments.
• Actively follow up with insurance companies regarding payment status, claim issues, and appeals to secure timely reimbursement.
• Prepare and send invoices for outstanding patient balances and ensure accurate application of payments.
• Manage overpayments, process refunds, and monitor accounts to ensure correct payment posting.
• Provide assistance with other AR-related tasks as needed, ensuring smooth operation of the revenue cycle.
Qualifications and Requirements
• Strong knowledge of AR and claims processes, understanding of how claims are tracked, followed up on, and resolved in the revenue cycle.
• Ability to identify and resolve discrepancies in accounts and claims, ensuring accuracy.
• Familiarity with reconciling accounts, managing refunds, and ensuring payment application is correct.
• Clear and coherent in both written and verbal communication skills with insurance providers, patients, and internal teams to resolve issues and answer inquiries.
• Ability to prioritize tasks, manage follow-ups, and meet deadlines efficiently.
• Flexibility in adjusting to changing priorities and tasks in the AR process.
• Ability to collaborate with internal teams while also working independently to resolve issues.
