Found Description
We are seeking an experienced and performance-driven AR Executive to join our Revenue Cycle Management team. This role involves handling insurance follow-ups, resolving denials, reducing aging accounts, and improving collections performance.
The ideal candidate should have strong knowledge of payer guidelines, denial management, and AR metrics such as Days in AR, Denial Resolution Rate, and Collection Effectiveness.
Key Responsibilities:
Perform insurance follow-ups on unpaid, underpaid, and denied claims.
Work on aging buckets (60+/90+/120+ AR) and reduce outstanding balances.
Analyze denial codes (CO-97, CO-45, CO-18, CO-50, CO-197) and take appropriate action (Appeal / Rebill / Adjustment).
Draft and submit strong appeals with required documentation.
Follow up on high-value and escalated accounts.
Interpret EOBs/ERAs accurately and identify payment discrepancies.
Ensure timely filing compliance and adherence...
The ideal candidate should have strong knowledge of payer guidelines, denial management, and AR metrics such as Days in AR, Denial Resolution Rate, and Collection Effectiveness.
Key Responsibilities:
Perform insurance follow-ups on unpaid, underpaid, and denied claims.
Work on aging buckets (60+/90+/120+ AR) and reduce outstanding balances.
Analyze denial codes (CO-97, CO-45, CO-18, CO-50, CO-197) and take appropriate action (Appeal / Rebill / Adjustment).
Draft and submit strong appeals with required documentation.
Follow up on high-value and escalated accounts.
Interpret EOBs/ERAs accurately and identify payment discrepancies.
Ensure timely filing compliance and adherence...