
AR & Claims Resolution Associate-Medical Billng
1 day ago
Accounts Receivable & Denials Management
- Monitor and manage outstanding insurance claims to minimize accounts receivable (AR) balances.
- Review and resolve claim denials daily, ensuring timely and accurate follow-up.
- Analyze Electronic Remittance Advice (ERA) data to identify recurring denial trends and recommend corrective actions.
- Prepare, submit, and track appeals for denied or underpaid claims with proper documentation.
- Investigate payment discrepancies and escalate complex cases to the Billing Manager as needed.
- Maintain and update AR aging reports; provide weekly and monthly performance updates.
- Process claims for specialized services, including TMS, Spravato, and psychological testing.
- Collaborate with the Billing Manager to meet AR resolution and collection targets.
Patient & Provider Support
- Address billing-related inquiries from patients, providers, and internal teams.
- Review patient accounts for accuracy, update balances, and initiate collections when necessary.
- Work with providers to correct claim errors, including coding and documentation.
- Coordinate with insurance companies on prior authorizations, coverage verification, and network participation.
- Handle patient concerns with professionalism, including processing refunds when applicable.
System Support & Process Improvement
- Submit and monitor system support tickets in eClinicalWorks (eCW) for billing issues.
- Provide training and support to team members on AR and denial resolution procedures.
- Collaborate with U.S.-based teams to ensure timely, accurate claim submissions.
- Participate in regular meetings to review AR performance, identify trends, and implement process improvements.
- Stay up to date on payer policies, compliance regulations, and industry best practices.
Job Type: Full-time
Pay: Rs40, Rs80,000.00 per month
Ability to commute/relocate:
- Wapda Town: Reliably commute or planning to relocate before starting work (Required)
Application Question(s):
- Willing to work the night shift?
Experience:
- Medical Billing: 1 year (Preferred)
Language:
- English (Required)
Work Location: In person
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