AR Follow-up - (US Healthcare RCM)
Core
US healthcare accounts receivable specialist following up with payers to resolve claim denials, underpayments, and non-payments for physician groups.
Role type
Associate / Sr Associate Healthcare AR Specialist
Builds
Collections and claim status resolution for US provider organizations
Domain
US Healthcare Revenue Cycle Management
Required skills
US payer calling, EOB/ERA analysis, denial code interpretation (CARC/RARC), HIPAA compliance, practice management systems (Epic, Athena Health, AdvancedMD)
Preferred skills
Multi-specialty physician group experience, Medicare/Medicaid payer exposure
Responsibilities
Call US payers on claim status and underpayments, analyze EOBs/ERAs to identify denial reasons, draft and track appeal letters for complex denials, manage aged AR accounts, coach new associates on payer nuances
Seniority
Associate (1+ year) / Sr Associate (3–4 years)