Overview
We are looking for a detail-oriented AR Executive for US-based digital health entrepreneurs specializing in wearables.
We are looking for the following specific requirements
- Bachelor’s degree or equivalent.
- 1–3 years of experience in US Healthcare Accounts Receivable (AR) or Revenue Cycle Management (RCM).
- Good understanding of US Medical Billing and Revenue Cycle Management.
- Strong written and verbal communication skills.
- Excellent analytical and problem-solving abilities.
- Ability to work collaboratively with cross-functional teams.
- Ability to manage multiple claims while maintaining accuracy and productivity.
Your responsibilities will include (but are not limited to):
- Follow up on insurance claims through Medicare, Availity, commercial payer portals, IVR systems, and insurance representatives.
- Track and monitor claims submitted through Office Ally.
- Investigate unpaid and underpaid claims and ensure timely resolution.
- Analyze claim denials and submit corrected claims and appeals.
- Collaborate with Billing, Coding, and Operations teams to resolve claim issues.
- Maintain accurate documentation of claim follow-ups and outcomes.
- Ensure timely reimbursements while meeting daily productivity and quality targets.
- Identify recurring denial trends and recommend process improvements.