Senior Associate - AR

Key Responsibilities

Accounts Receivable Management

• Review and follow up on outstanding insurance and patient accounts.
• Analyze unpaid and underpaid claims and take appropriate corrective actions.
• Prioritize aged AR to maximize collections and reduce AR days.
• Ensure timely resolution of claims based on payer filing limits.

Denial Management

• Investigate claim denials and identify root causes.
• Correct coding or billing errors and resubmit claims when appropriate.
• Prepare and submit appeals with supporting documentation.
• Monitor denial trends and recommend process improvements.

Payer Follow-up

• Contact commercial, Medicare, Medicaid, Workers' Compensation, and Managed Care payers regarding claim status.
• Resolve payment delays, authorization issues, eligibility issues, and medical necessity denials.
• Document all payer communications accurately in the billing system.

Payment & Reimbursement

• Verify payments against contracted reimbursement rates.
• Identify underpayments and initiate recovery actions.
• Coordinate with payment posting and coding teams for claim corrections.

Reporting & Productivity

• Meet daily productivity and quality targets.
• Maintain accurate account documentation.
• Prepare reports on AR inventory, denial trends, collections, and aging.
• Escalate high-value or complex accounts when necessary.

Collaboration

• Work closely with Coding, Charge Entry, Credentialing, and Patient Access teams.
• Assist in identifying process gaps and implementing corrective actions.
• Support training and mentor junior AR associates.