Healthcare AR Executive Insurance Follow-Up - Price: Rs. 0

Healthcare AR Executive Insurance Follow-Up
Job Description
Duties:
Claim Tracking & Follow-up: Call insurance companies in a methodical manner about claims that have gone over the typical payment windows (30/60/90+ days) and review and manage aging AR reports on a daily basis.
Denial Management: Determine the underlying reasons for claim rejections or denials (such as coding mistakes, benefit coordination, or lack of medical necessity), make the required adjustments, and resubmit clean claims.
Insurance Communication: Use automated Interactive Voice Response (IVR) and web portals, verify claim statuses, and actively interact with insurance staff to contest improper processing.
Appeals Filing: Create and submit official, thoroughly documented appeals packages to insurance companies for high-value claims that were unfairly rejected or underpaid.
Documentation & Logging: Keep accurate, auditable records in the medical billing software that include call reference numbers, insurance agent names, detailed action details, and anticipated payment dates.

Focus Skills:
US Healthcare Knowledge: A solid grasp of the US healthcare system, including the typical revenue cycle management (RCM) flow and the various payers (Medicare, Medicaid, PPO, HMO).
Medical Billing Literacy: Knowledge of ICD-10, CPT, and HCPCS coding structures, clearinghouses, and medical claim forms (CMS-1500, UB-04).
Assertive Communication: Outstanding written and verbal English communication abilities, as well as the professional assurance to bargain with and hold insurance firms responsible.
Finding payment gaps requires using sound reasoning to examine Electronic Remittance Advices (ERA) and Explanation of Benefits (EOB).
Keyboarding and multitasking: Quick and precise data entry that enables taking notes while paying attention to an insurance agent.

Apply now to become an integral part of our growing team!
With Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com