AR caller – Hospital billing(Night)
Job Summary
The AR Specialist is responsible for timely follow-up and resolution of unpaid hospital claims to maximize reimbursement and reduce Days in AR.
Qualifications
- 2–4 years of hospital AR experience
- Knowledge of UB-04 claim forms
- Familiarity with clearinghouses and payer portals
- Strong communication and negotiation skills
Key Responsibilities
- Review aging reports and prioritize accounts by payer and balance.
- Follow up on unpaid claims via payer portals and calls.
- Verify claim receipt and adjudication status.
- Reconcile payments with remittance advice (ERA/EOB).
- Identify underpayments according to contract rates.
- Correct billing errors (demographics, coding, authorization).
- Resubmit corrected claims electronically or via paper.
- Initiate reconsiderations and appeals as required.
- Understand Medicare Part A, Medicaid, Managed Care, and Commercial payer guidelines.
- Work payer-specific denials such as:
- Timely filing
- Medical necessity
- Authorization issues
- Bundling edits (NCCI edits)
- Document all follow-up actions clearly in the billing system.
- Maintain accurate account notes for audit trail compliance.
- Meet daily account touch targets.
- Maintain quality score above department benchmark.
- Achieve collection goals per assigned portfolio.
How to Apply
Interested candidates can send your portfolio with updated CV and a brief cover letter to [email protected] with the subject line “Accounts Receivable (AR) Specialist – Hospital Billing”.
About SolvEdge
Solvedge: Pioneering the Future of Digital Healthcare
Our Expertise
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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.
