AR Caller / Senior AR caller

About SolvEdge

At SolvEdge, we are pioneers in revolutionizing healthcare with our advanced technology solutions. We are looking for a detail-oriented AR Caller to help us manage our accounts receivable process, perform effective follow-ups, and analyze payment trends within the healthcare sector.

What You ll Do

As an AR Caller at SolvEdge, you will play a key role in managing accounts receivable by contacting insurance companies, analysing payment trends, and resolving payment issues. Your work will ensure the smooth flow of payments, minimize outstanding claims, and contribute to revenue improvement.

Primary Responsibilities

Follow-Up on Outstanding Claims: Contact insurance companies to inquire about the status of unpaid claims and follow up on accounts receivable issues, ensuring timely resolution.

Conduct Detailed Analysis: Analyze trends in payment patterns, identify reasons for underpayments or delays, and use this data to optimize the follow-up strategy

Customer Interaction: Maintain effective communication with healthcare providers, insurance companies, and other stakeholders to resolve payment issues and ensure claims are processed efficiently.

Assess Claims and Resolve Denials: Identify denied claims, assess the reasons for denials, and work with insurance companies to correct errors and ensure claims are paid.

Maintain Documentation: Keep accurate and up-to-date records of all follow-up actions, payment statuses, and denial resolutions, maintaining a clear audit trail

Generate Reports: Compile data and create reports to track accounts receivable performance, identify issues, and provide insights into ways to reduce outstanding balances.

Who You Are

You re not just looking for a job; you re seeking a career where you can make a significant impact in the healthcare industry. You bring analytical thinking, a customer-focused mindset, and attention to detail to everything you do.

Requirements

Experience: 1-5 years of experience in accounts receivable follow-up or denial management, particularly in healthcare-related fields

Analytical Skills: Ability to analyze data trends, identify issues with payment patterns, and provide solutions to optimize the collections process.

Communication Skills: Strong verbal and written communication skills to effectively communicate with insurance companies and internal stakeholders.

Technical Proficiency: Proficiency in using medical billing software, MS Office tools, and other accounts receivable management platforms.

Healthcare Industry Knowledge: Familiarity with healthcare billing, insurance processes, CPT/ICD-10 codes, and insurance filing limits is highly beneficial.

Why Apply

Even if you feel you don t meet every single requirement, we encourage you to apply. We re looking for passionate individuals who may bring diverse perspectives and skills to our team. At SolvEdge, we value talent and dedication and are committed to fostering growth within our organization.

How to Apply

Ready to make a differenceSubmit your resume, a cover letter that highlights your qualifications, and any relevant experience. We look forward to hearing from you!

SolvEdge is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

About SolvEdge

Solvedge: Pioneering the Future of Digital Healthcare

Our Expertise

SOLVEDGE stands at the forefront of digital healthcare innovation as a premier healthcare performance company. With over 18 years of dedicated service in the healthcare industry, we specialize in a digital care journey platform that revolutionizes how hospitals and health systems engage, monitor, and connect with patients throughout their healthcare experiences. Our partnership with Fortune 100 medical device companies and hospitals nationwide underscores our position as a trusted partner in healthcare solutions.

Key Features of SOLVEDGE

Our platform is designed to empower healthcare providers with the tools they need to automate and streamline care delivery, thereby improving clinical outcomes and patient satisfaction:

Personalized Care Plans: Leveraging evidence-based data, SOLVEDGE delivers digital care plans customized to meet the individual needs and conditions of each patient.

Real-Time Patient Monitoring: Through daily health checks, assessment, surveys, and integration with wearable devices, our platform facilitates continuous monitoring of patient health.

Automated Care Delivery: We automate essential tasks, including appointment scheduling, sending reminders, and delivering educational content, to enhance patient engagement and reduce administrative tasks.

Remote Patient Monitoring: Healthcare providers can monitor vital signs, symptoms, and treatment plan adherence remotely, enabling timely interventions and proactive care management.

The SOLVEDGE Advantage

Our platform offers significant benefits to healthcare providers and patients alike:

Improved Clinical Outcomes: By facilitating more effective care pathways and enabling early intervention, SOLVEDGE contributes to reduced readmission rates, fewer emergency department visits, and shorter hospital stays.

Enhanced Patient Satisfaction: Patients enjoy a higher quality of care with SOLVEDGE, benefiting from improved communication, comprehensive education, and continuous support.

Cost Savings: Healthcare organizations can achieve substantial cost reductions by minimizing unnecessary readmission, emergency visits, and complications associated with poor care management.

Applications and Impact

SOLVEDGE s versatility allows for its application across various aspects of healthcare, with a particular emphasis on surgical care. From preparing patients for surgery to monitoring their post-operative recovery, our platform ensures a seamless and supportive care journey. Beyond surgical care, our focus encompasses managing care pathways, enhancing patient engagement through patient-reported outcomes, providing advanced data analytic, integrating with electronic medical records (EMR), and streamlining billing processes. Our comprehensive approach addresses the myriad challenges faced by today s healthcare
industry, backed by our commitment to excellence in service, communication, and customer
experience.

A Trusted Partner in Healthcare Innovation

Our strategic relationships and deep understanding of healthcare challenges have positioned us as an indispensable ally to healthcare providers nationwide. As we continue to develop innovative solutions, our goal remains unchanged: to simplify healthcare delivery, improve patient outcomes, and enhance the overall patient experience.

Job Features Job Category (RCM) Revenue Cycle Management