Billing & Claims Resolution Specialist

AR Specialist will work with the RCM team to ensure the Client's AR stays within 30 days and the revenue collections are maximized

• Track and follow up with insurance payers on the unpaid claims
• Identify denial trends and highlight claim related issues in timely manner
• Maintain AR tracker and ensure that the productivity for AR claims follow-up is maintained
• Display in-depth knowledge and execute standard operating procedures (SOP’s)
• Communicate clearly and effectively to management on billing issues, concerns, and trends
• Have the ability to investigate and get to the bottom of the claim denial reasons
• Perform other duties as assigned

Job Requirements

• Strong knowledge of the US healthcare medical billing terminology
• Familiar with guidelines of US government, commercial and private payers
• Ability to plan, prioritize, and complete work to meet establis...