AR Claims

About the Role

We are seeking a detail-oriented and proactive AR Claims Specialist to join our healthcare revenue cycle team. This role is responsible for managing insurance claims, resolving denials, and ensuring timely reimbursement. The ideal candidate will have strong analytical skills, excellent communication abilities, and experience working with payers to resolve claim-related issues.

Key Responsibilities

• Review, analyze, and process insurance claims to ensure accuracy and compliance with payer requirements.
• Investigate and resolve claim denials, underpayments, and rejections by coordinating with insurance providers.
• Submit corrected claims and appeals to expedite reimbursement.
• Monitor aging accounts receivable and follow up on outstanding balances.
• Communicate with patients and insurance representatives regarding claim status, coverage issues, and financial responsibilities.
• Document claim activity and m...