Sr Executive

AR Follow Up, EDI & ERA enrolment executives for Heathcare domain end to end RCM domain.

Core responsibilities

Call insurance companies: Make outbound calls to insurance to follow up on outstanding claims.

Resolve claim issues: Investigate and resolve denied or underpaid claims, including reviewing Explanation of Benefits (EOBs).

Ensure timely payment: Work to ensure claims are paid on time, which includes correcting errors and appealing denials.

Maintain records: Keep accurate and detailed records of all communication and claim statuses in the billing system.

Collaborate internally: Work with internal teams (like medical billing and coding) to resolve discrepancies and improve processes.

Stay updated: Maintain up-to-date knowledge of insurance policies, procedures, and regulations.

Meet targets: Work towards meeting daily and monthly accounts receivable collection goals.

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