Role OverviewLead A/R follow-up operations across commercial, Medicare, Medicaid, and managed care payers. Ensure timely resolution of outstanding claims. Evaluate AI-generated A/R follow-up recommendations, claim status inquiry outputs, and payer correspondence drafts for accuracy and effectiveness.
What You Will Do
Manage claim status follow-up workflows, prioritize A/R queues, identify and resolve claim payment discrepancies, and annotate AI outputs.
Why It Might Be a Fit
Must have 5+ years of experience in A/R follow-up, payer collections, or revenue cycle operations, with at least 2 years in a management role. Strong understanding of claim status follow-up workflows, EDI 276/277 transactions, and payer-specific collections processes.
Requirements
- 5+ years of experience in A/R follow-up, payer collections, or revenue cycle operations
- Deep knowledge of claim status follow-up workflows, EDI 276/277 transactions, and payer-specific collections processes
- Strong understanding of Medicare, Medicaid, and commercial payer claims processing and payment timelines
- Experience prioritizing and managing high-volume A/R queues across multiple payers
- Proficiency with billing systems and A/R management platforms
- Exceptional written and verbal English communication skills
- High attention to detail with the ability to identify payment errors and discrepancies in AI-generated A/R content
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