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0-1 years
Not Disclosed
7 Dec. 2, 2024
Job Description
Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: AR Associate
Department: Accounts Receivable
Location: [Location]
Reporting To: Supervisor / Team Lead

Role Description Overview:

The AR Associate is responsible for managing the daily operations of Denials Processing, Claims Follow-up, and Customer Service. The role ensures efficient handling of insurance claims, timely follow-ups, and adherence to quality and productivity targets.


Responsibility Areas:

Claims Processing & Follow-Up:

  • Review emails for updates or changes related to insurance claims.
  • Contact insurance carriers to follow up on claims, document notes in software and spreadsheets, and take appropriate action.
  • Address pending claims through consistent follow-up to ensure timely resolution.

Issue Escalation:

  • Identify issues or discrepancies in claims and escalate them to the immediate supervisor for resolution.

Documentation & Reporting:

  • Update production logs with accurate information on claim status and actions taken.
  • Prepare and maintain detailed status reports to monitor claims progress and resolution.

Quality & Productivity:

  • Understand client requirements and project specifications to ensure adherence.
  • Ensure daily and monthly collection targets are met consistently.
  • Meet client-defined productivity benchmarks within the stipulated timelines.
  • Deliver client requirements while maintaining high-quality standards.

Desired Profile:

Qualifications & Skills:

  • Basic understanding of claims processing and healthcare insurance systems.
  • Proficiency in data entry, documentation, and reporting tools.
  • Excellent verbal and written communication skills for interaction with insurance carriers and internal stakeholders.
  • Ability to prioritize tasks and manage deadlines efficiently.
  • Strong analytical and problem-solving skills for identifying and addressing issues.

Experience:

  • Prior experience in AR, medical billing, or claims management is preferred but not mandatory.

Key Attributes:

  • Detail-oriented with the ability to maintain accurate records.
  • Collaborative team player with good interpersonal skills.
  • Willingness to learn and adapt to changing client requirements and industry standards.

How to Apply:

Interested candidates should submit their updated resume highlighting relevant experience and skills for the AR Associate role.


This role is ideal for candidates eager to build a career in accounts receivable operations, focusing on healthcare claims and customer service.