Ar Associate

Job Description Job Summary: The Accounts Receivable Associate is responsible for managing and following up on outstanding claims, ensuring timely collections, and resolving payment discrepancies. This role plays a crucial part in the revenue cycle process by reducing outstanding accounts receivable, improving cash flow, and maintaining accurate financial records. What We Are Looking For: Primary Functions: Claims Follow-Up & Collections: Monitor outstanding insurance claims and patient balances. Conduct timely follow-ups with insurance providers to ensure claim resolution. Investigate and resolve denials, underpayments, and delays in claim processing. Contact patients for outstanding balances, set up payment plans, and provide billing support Payment Reconciliation & Posting: Work closely with the payment posting team to ensure correct application of payments and adjustments. Reconcile daily AR reports and accounts to track collections and pending claims. Identify and escalate billing errors or discrepancies for resolution. Denial Management & Appeals: Analyze denial trends and collaborate with the billing team to correct recurring issues. Prepare and submit appeals for denied or underpaid claims with appropriate documentation. Maintain records of appeal status and follow up with insurance carriers. Reporting & Compliance: Generate and maintain aging reports, AR summaries, and collection reports. Ensure compliance with HIPAA, Medicare, Medicaid, and private payer policies. Document all collection activities and maintain accurate AR records. Cross-Functional Collaboration: Work with the billing, payment posting, and coding teams to resolve claim discrepancies. Communicate with insurance representatives and internal stakeholders to streamline the AR (Mandatory Qualifications & Skills): 1+ years of experience in accounts receivable, medical billing, or revenue cycle management. Experience with RCM software (e.g., EPIC, Athenahealth, Cerner, eClinicalWorks, NextGen, Kareo, or Meditech). What Would Make You Stand Out: (Preferred/Good-to-Have Skills) Strong knowledge of insurance reimbursement processes, AR management, and medical billing. Familiarity with CPT, ICD-10, and HCPCS codes for claim verification. Proficiency in Microsoft Excel, financial reconciliation, and reporting tools. Ability to work independently and manage high-volume AR portfolios. Skills/ Behavioral Skills: Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns.