Claims Representative

Job Title : Accounts Receivable Associate

• Job DescriptionClaims Management: Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner.
• Denial Management: Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing.
• Communication: Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies.
• Account Follow-up: Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up.
• Documentation: Maintain accurate records of communications, actions taken, and status updates on patient accounts using company software systems.
• Compliance: Ensure adherence to HIPAA guidelines and US healthcare regulations during all interactions and processes.
• Reporting: Prepare and submit daily/weekly/monthly reports to management on claims status, denials, and collections achieved.

Mandatory Skills

• Accounts Receivable Associate,US Healthcare