AR Follow-up - RCM
Core
Follow up with US payers to resolve claim status, underpayments, and denials for physician groups and specialty practices.
Role type
Associate / Sr Associate Accounts Receivable Specialist (US Healthcare)
Builds
Collections and claim resolution for 270+ US provider organizations
Domain
US Healthcare Revenue Cycle Management
Required skills
US healthcare AR calling, EOB/ERA analysis, denial code interpretation (CARC/RARC), HIPAA compliance, billing system documentation, appeal letter drafting, aged AR management
Preferred skills
Epic/AdvancedMD/Athena Health platform experience, multi-specialty physician group experience, Medicare/Medicaid payer exposure
Technologies
Epic, AdvancedMD, Athena Health, MS Office
Responsibilities
Call US payers on claim status and non-payment, analyze EOBs/ERAs to identify denial reasons, meet daily productivity and quality targets, draft and track appeal letters for complex denials, manage aged AR buckets with root-cause analysis
Seniority
Associate (1+ year experience) / Sr Associate (3–4 years experience)