Accounts Receivable

Key Responsibilities

• Follow up on hospital and physician billing claims (IP/OP/ER) with US insurance payers
• Work on aging AR buckets (30/60/90/120+ days) and prioritize high-value accounts
• Analyze and resolve claim denials and rejections related to coding, DRG/APC, authorization, medical necessity, and eligibility issues
• Handle issues such as bundling, duplicate claims, and timely filing limits
• Contact insurance companies via calls and payer portals to check claim status and secure payments
• Correct billing errors and resubmit UB-04 claims with required documentation
• Prepare and submit appeals with proper medical records and supporting documents
• Ensure compliance with payer guidelines and US healthcare billing regulations
• Coordinate with internal teams such as coding, clinical, and billing departments
• Maintain accurate updates and documentation in billing systems
• Meet defined productivity, quality, and turnaround time (TAT) targets
• Identify denial trends and recommend process improvements