Accounts Receivable Associate

** - Monitor outstanding insurance claims and patient balances. Conduct timely follow-ups with insurance providers to ensure claim resolution. - Investigate and resolve denials, underpayments, and delays in claim processing. - Contact patients for outstanding balances, set up payment plans, and provide billing support. - Work closely with the payment posting team to ensure correct application of payments and adjustments. - Reconcile daily AR reports and accounts to track collections and pending claims. - Identify and escalate billing errors or discrepancies for resolution. - Analyze denial trends and collaborate with the billing team to correct recurring issues. - Prepare and submit appeals for denied or underpaid claims with appropriate documentation. - Maintain records of appeal status and follow up with insurance carriers. - Generate and maintain aging reports, AR summaries, and collection reports. - Ensure compliance with HIPAA, Medicare, Medicaid, and private payer policies. - Document all collection activities and maintain accurate AR records. - Work with the billing, payment posting, and coding teams to resolve claim discrepancies. - Communicate with insurance representatives and internal stakeholders to streamline the AR process. **

** - Bachelors degree in Accounting, Finance, Business Administration, or a related field (preferred). - 2+ years of experience in accounts receivable, medical billing, or revenue cycle management. - Experience with RCM software (e.g., EPIC, Athenahealth, Cerner, eClinicalWorks, NextGen, Kareo, or Meditech). The company, Resolv, was formed in 2022 by bringing together industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise. The company is dedicated to partnering with RCM companies that offer diverse solutions to address healthcare reimbursement and revenue cycle operations complexities, ultimately helping to improve financial performance and patient experience.