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Protocol Intelligence
Data-driven signals on your job's competitivenessGeneralist AR role in a metro with broad responsibilities increases candidate competition.
Medical claims, payer interactions and RCM processes require strong industry-specific background.
Requires RCM/medical billing experience and KPI productivity, so moderate filtering applies.
Job Description
Structured overview of role & requirementsAbout This Role
Manage and maximize accounts receivable collections for RCMS clients by researching and following up on medical insurance claims.
Prepare appeals and responses to insurance carriers, resolve complex payer denials, and ensure secondary claims are processed and paid.
Drive accounts receivable processes to achieve KPI results, including working on 1,400 accounts per month and maintaining client communication regarding claims and information requests.
Minimum Requirements
Experience Required: Not explicitly mentioned in the JD.
Strong knowledge of medical insurance claims processes including appeals, denials, and secondary claim handling.
Customer service skills to handle client, patient, and carrier communications effectively.
Ability to work with office management systems, aging reports, clearinghouse/PM rejections, and relevant reporting tools like SharePoint.
Ideal Candidate Profile
Experienced in healthcare revenue cycle management with focus on accounts receivable and claims resolution.
Detail-oriented operator able to handle high-volume claim research, follow-ups, and achieve measurable KPI targets.
Comfortable managing client and payer interactions and collaborating with new hires to help them onboard.