Accounts Receivable

Accounts Receivable & Denial Resolution

• Oversee and resolve outstanding insurance claims to reduce overall Accounts Receivable (AR) balances.
• Conduct daily follow-ups on denied claims to ensure timely and effective resolution.
• Review Electronic Remittance Advice (ERA) reports to identify recurring denial trends and implement corrective or preventive measures.
• Prepare, submit, and monitor appeals for denied or underpaid claims, ensuring all supporting documentation is accurate and complete.
• Investigate payment discrepancies and escalate complex or unresolved issues to the Billing Manager when necessary.
• Maintain accurate AR aging reports and provide consistent weekly and monthly performance updates.
• Manage billing and claims processing for specialized services, including TMS, Spravato, and psychological evaluations.
• Collaborate closely with the Billing Manager to achieve AR recovery, reduction, and accuracy ta...