Subject Matter Expert- AR (RCM, US Healthcare)

Job Summary:

We are seeking a skilled and detail-oriented Subject Matter Expert with experience in handling insurance denials and AR follow-up. The ideal candidate will be proficient in using health insurance portals, EHR systems, and have hands-on experience with Advanced MD software. A strong background in healthcare billing and collections is essential for success in this role.

Responsibilities:

• Utilize Advanced MD software to manage and process accounts receivable for healthcare services.
• Charge posting and payment posting.
• Ensure accurate and timely billing submissions to insurance companies and patients.
• Follow up on outstanding claims and denials to maximize collections.
• Review and reconcile payments received against outstanding accounts.
• Generate reports from Advanced MD to analyze billing and collection trends.
• Work closely with the billing team to resolve any discrepancies or issues in billing.
• Maintain compliance with healthcare regulations and standards.
• Identify and implement process improvements to streamline billing and collection procedures.
• Communicate effectively with patients, insurance companies, and internal stakeholders regarding billing inquiries.

Requirements:

• 3-5 years of experience in insurance denial and insurance calling.
• In-depth knowledge and hands-on experience with Advanced MD software is preferred.
• Strong understanding of medical billing processes, including insurance claims and reimbursements.
• Excellent analytical and problem-solving skills.
• Ability to work independently and as part of a team in a fast-paced environment.
• Detail-oriented with a commitment to accuracy.
• Effective communication skills, both verbal and written.