Collections Representative - AR Calling - Physician Billing

The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership.

• Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate
• Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR
• Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle
• Ensure all workflow items are completed within the set turn-around-time within quality expectations
• Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and leading to process improvements
• Perform other duties as assigned

• Graduate (10+2+3) or B. Tech and MBA with AR experience
• 18+ months of experience in AR Calling
• Domain Expertise: Hands-on experience in both Physician Billing - CMS1500 Claim Form
• Solid knowledge of Denial Management within the RCM/AR domain
• Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers)
• In-depth working knowledge of the various applications associated with the workflows
• Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information
• Solid knowledge and use of the American English language skills with neutral accent
• Proficient in MS Office software; particularly Excel and Outlook
• Proven ability to communicate effectively with all internal and external clients
• Proven ability to use good judgment and critical thinking skills; ability to identify and resolve problems
• Proven efficient and accurate keyboard/typing skills
• Proven solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction