Accounts Receivable (AR) Executive / Sr. Executive - US Healthcare

Overview:

We are seeking a detail-oriented and experienced Accounts Receivable (AR) Executive to join our healthcare organization. The ideal candidate will have a strong understanding of the US healthcare billing and reimbursement process, with a focus on maximizing collections and reducing accounts receivable delinquency. This position requires excellent communication skills, as well as the ability to collaborate effectively with internal and external stakeholders.

Responsibilities:

- Review and monitor outstanding accounts receivable balances.

- Follow up with insurance companies and patients regarding unpaid claims and outstanding balances.

- Investigate and resolve denials, underpayments, and billing issues.

- Process appeals and reconsiderations for denied or underpaid claims.

- Generate aging reports and analyze AR aging to identify delinquencies and trends.

- Communicate with patients to resolve billing inquiries and disputes.

- Maintain accurate and up-to-date billing records and documentation.

- Collaborate with billing and coding team to ensure accurate claim submissions.

- Provide regular updates and reports to management on AR status and performance metrics.

- Stay updated with changes in healthcare regulations and insurance guidelines affecting AR processes.

Requirements:

- Proven experience (12 Months) working in accounts receivable within the US healthcare industry.

- Strong understanding of medical billing practices, including CPT, ICD-10, and HCPCS coding.

- Knowledge of insurance claim submission and reimbursement processes (Medicare, Medicaid, commercial insurance).

- Experience with electronic medical records (EMR) and billing systems (e.g., Epic, Cerner, Meditech).

- Excellent analytical and problem-solving skills.

- Ability to prioritize and manage multiple tasks in a fast-paced environment.

- Proficient in Microsoft Office Suite (Excel, Word, Outlook).

- Strong interpersonal and communication skills, both verbal and written.

**Benefits:**

- Competitive salary commensurate with experience.

- Professional development and training opportunities.

- Collaborative and supportive work environment.

Share your resume at guddan.solanki@pacificbpo.com or call/WhatsApp me on 9289499668.