AR Specialist Advanced Medical Billing

AR Specialist Advanced Medical Billing Job Description: Responsibilities: Insurance Accounts Receivable Tracking: Prioritize aging accounts receivable records that have beyond the 30, 60, or 90-day payment thresholds by methodically reviewing and monitoring grids of outstanding insurance claims. Direct Insurance Calling Lines: Use automated dialer systems to contact US healthcare insurance companies directly in order to look for unpaid, pending, or dropped medical claim files. Rejection Code Analysis & Resolution: Examine insurance rejection justifications and methodically decipher common billing feedback flags, such as Member Eligibility, Prior Authorization, Medical Necessity, and Coordination of Benefits. Claims Re-Submission & Correction Coordination: Use clearinghouse software to promptly resubmit clean claims after fixing and correcting claim line problems, such as misspelled patient identities, incorrect modifier attachments, or mismatched diagnostic pairs. Appeals Matrix Engineering: Create, put together, and send official administrative and clinical appeal packages to insurance providers, including the medical records required to overturn denials of incorrect claims. Experience: 0 to 3 yrs Education: Any Basic Degree If Interested Please do Send your CV along with you Informations as below to mail Full Name: Contact Number: Email Address: Current Location: Position Applied For: Qualification: Year of Passout: Candidate Category: Fresher / Experienced Willingness to Relocate: Yes / No Total Years of Experience: If applicable Current/Last Drawn Salary Monthly/Annual: Notice Period: Warm regards, HR- Maria