Senior AR Associate (US Healthcare RCM)
Core
Managing outstanding insurance claims, resolving denials, and ensuring timely reimbursement for physician practices in the US healthcare sector.
Role type
Senior individual contributor accounts receivable associate (healthcare revenue cycle)
Builds
Timely reimbursement and reduced aging AR inventory for US physician and lab practices
Domain
US Healthcare / Revenue Cycle Management
Required skills
US healthcare payer knowledge, denial management, appeals and reconsiderations, CPT/ICD-10/HCPCS coding, practice management systems, root cause analysis, HIPAA compliance
Preferred skills
Experience with Medicare/Medicaid/BCBS/UHC/Aetna/Cigna/Humana, lab billing, revenue leakage analysis
Technologies
Availity, Practice Management Systems, EMRs, Payer Portals
Responsibilities
Perform timely follow-up on outstanding insurance claims to maximize collections; Review unpaid, underpaid, denied, and rejected claims and take appropriate action; Contact insurance companies via phone and payer portals to determine claim status and resolve denials; Collaborate with Billing, Coding, and Patient AR teams to resolve claim issues; Meet daily productivity, quality, and turnaround time (TAT) targets; Mentor junior AR Associates
Seniority
Senior, hands-on IC with mentorship responsibilities