AR follow up Executives

Key Eligibility Criteria for AR Follow-Up Roles

Kindly apply only after going through JD

Education/

Experience:

High School Diploma/GED, previous medical billing/AR experience preferred (often 2-4+ years).

Key Responsibilities

Claim Follow-up:
Making outbound calls to US insurance payers (commercial & government) for pending claims.

Denial & Underpayment Resolution:
Investigating, analyzing, and resolving denied or underpaid claims efficiently.

EOB/ERA Analysis:
Reviewing Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to understand payment details.

Documentation:
Accurately logging all communication and claim status updates in the billing system.

Appeals & Re-billing:
Drafting appeals and re-filing claims with corrections (modifiers, codes).

Team Coordination:
Working with billing, coding, and other teams to resolve discrepancies and errors.

Compliance:
Ensuring adherence to HIPAA and US healthcare regulations.

Essential Skills & Knowledge

Revenue Cycle Management (RCM):
Strong understanding of the end-to-end RCM process.

Medical Billing Codes:
Familiarity with CMS-1500, UB04, modifiers, and diagnosis/procedure codes.
Insurance Knowledge:
Understanding US payer guidelines and billing requirements.

Communication:
Excellent verbal and written communication skills for interacting with payers and internal staff.