Healthcare Claims Accounts Receivable Representative

Responsibilities

• Read contracts for payment disputes.
• Work on the provider (hospital) side.
• Verify claim status with insurance and collect unpaid claims.
• Process claims payments.
• Manage accounts receivable (AR) collections and follow-ups.
• Ensure invoice accuracy and resolve discrepancies.
• Provide input on policies, systems, and procedures for premium collection management.
• Educate customers on online claim and payment applications.
• Monitor outstanding balances and take necessary actions to ensure timely payments.
• Conduct quality assurance and audits of collection activities.
• Handle documents, emails, and calls related to account processes.