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Common mid-level AR role in metro location, but US healthcare RCM niche reduces candidate density.
Requires US payer and healthcare AR experience, limiting transferability across industries.
Mandatory 2+ years US healthcare AR experience and HIPAA/regulatory requirements make screening stringent.
Manage and submit inpatient/observation account notifications (NOA) via payer portals, EDI, fax, or calls ensuring compliance with timeliness and accuracy.
Track, document, and follow up on pending or rejected claims, handling denials, rejections, and leave of absence (LOA) corrections as per HIPAA and confidentiality rules.
Maintain accurate records for AR follow-up and denial management, prioritizing claims and coordinating payer communications without clinical review or appeals involvement.
Graduate degree required.
Minimum 2+ years experience in US Healthcare Accounts Receivable (AR) domain.
Strong English communication skills including reading, writing, and speaking.
Willingness to work night shifts; proficiency with payer communication channels (portals, EDI, fax, calls).
Experienced in NOA submission and denial management with detailed process knowledge and accurate documentation skills.
Capable of prioritizing work effectively to meet KPIs like NOA timeliness, first-pass accuracy, denial prevention, and follow-up turnaround times.
Comfortable working in international healthcare billing environment complying with HIPAA and confidentiality norms.