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Mid-level AR role in a metro at a known consulting firm with common finance requirements increases competition.
Requires US healthcare AR and HIPAA knowledge, limiting cross-industry transferability of candidates.
Mandatory 4+ years US healthcare AR experience plus HIPAA and claims expertise creates strict shortlisting filters.
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Initiate and manage follow-up calls to insurance companies regarding claims status, denials, and underpayments to ensure resolution.
Prioritize and process pending claims including denials, rejections, and Letters of Authorization (LOAs), making necessary corrections to claims.
Ensure compliance with confidentiality standards and organizational information security policies, documenting actions in claims billing summaries.
Graduate degree required.
Minimum 4 years of experience in US Healthcare Accounts Receivable (AR) domain.
Good communication skills with professional demeanor over phone.
Ability to follow HIPAA compliance and information security policies.
Experienced in US Healthcare claims processing with strong analytical and organizational skills for timely follow-up.
Comfortable managing multiple tasks and prioritizing claims efficiently.
Familiarity with international calling norms and compliance requirements in healthcare claims environment.