Accounts Receivable

Accounts Receivable & Denial Resolution

• Oversee and manage outstanding insurance claims to reduce overall Accounts Receivable (AR).
• Conduct daily follow-ups on denied claims to ensure timely and successful resolution.
• Review Electronic Remittance Advice (ERA) reports to identify recurring denial trends and propose corrective or preventive solutions.
• Prepare, submit, and monitor appeals for denied or underpaid claims, ensuring all required documentation is complete and accurate.
• Investigate payment discrepancies and escalate complex or unresolved issues to the Billing Manager when necessary.
• Maintain accurate AR aging reports and provide consistent weekly and monthly performance summaries.
• Handle claims for specialized services, including TMS, Spravato, and psychological assessments.
• Collaborate closely with the Billing Manager to meet AR recovery, reduction, and accuracy targets.

Patient & Provi...