AR Executive

Responsibilities:

• Perform Accounts Receivable follow-up for US Healthcare clients.
• Contact insurance companies and payers to verify claim status and payment information.
• Follow up on unpaid, underpaid, and outstanding claims.
• Analyze claim and account information to determine appropriate follow-up actions.
• Handle insurance-related inquiries through outbound calls.
• Work on denied claims and initiate appropriate resolution and follow-up.
• Perform eligibility verification and validate insurance information when required.
• Identify claim issues, payment delays, and reimbursement discrepancies.
• Maintain accurate documentation of all calls and follow-up activities.
• Update account and claim status accurately in the billing system.
• Escalate complex issues to the appropriate team or supervisor.
• Meet assigned productivity, quality, and collection targets.
• Follow client-specific processes and established quality standards.

Requirements:

• Strong knowledge of US Healthcare AR fundamentals.
• Good understanding of Denial Management.
• Knowledge of Eligibility Verification.
• Excellent verbal communication and fluency in English.
• Good insurance calling and payer interaction skills.
• Strong analytical and problem-solving abilities.
• Good knowledge of medical billing and insurance processes.
• Ability to handle professional conversations with US insurance representatives.
• Good typing and documentation skills.
• Ability to work independently and meet process targets.
• Willingness to work in a continuous night-shift environment.