Senior AR Executive

Appedology Inc. · Islamabad, Pakistan

The Senior AR Executive will oversee the entire accounts receivable process, specifically focused on health insurance claims. This includes managing claims follow-ups with insurance companies and patients, handling denials and appeals, and ensuring accurate and timely resolution of payment discrepancies. The role requires expertise in the insurance billing process, a deep understanding of industry regulations, and a commitment to maintaining accurate customer files.

Key Responsibilities :

Insurance Claims Follow-Up : Manage and track the follow-up process for health insurance claims with insurance companies and patients, ensuring timely resolution of any outstanding payments.

Claims Denial and Appeals Management : Handle the process of claim denials and appeals, ensuring that all necessary documentation is provided and claims are resubmitted in compliance with insurance regulations.

Regulatory Awareness : Stay informed of changes in insurance carrier rules, regulations, and government and commercial insurance updates to ensure compliance with billing procedures.

Payment Discrepancy Resolution : Research and resolve payment discrepancies, identifying issues and working directly with insurance companies and patients to ensure accurate billing and payments.

Accounts Receivable Management : Maintain and update customer files, ensuring that all accounts are accurately recorded and filed in the system.

Effective Use of Payer Websites : Utilize payer websites for follow-up, claim re-billing, and status updates to ensure prompt resolution of claims.

Explanation of Benefits (EOB) : Review and interpret EOB statements, explaining them clearly to patients and internal teams as necessary.

Billing Errors and Corrections : Identify and correct billing errors, ensuring that all claims are submitted accurately and payments are received without issues.

Claims Re-Submission : Re-submit claims to insurance carriers when necessary, ensuring that all documents and information are complete.

Team Collaboration : Participate in team efforts to improve the AR process, meet departmental goals, and contribute to the overall success of the finance team.

Job Skill

Accounts Receivable Management Effective Use of Payer Websites Claims Re-Submission

Total Positions:

1

Job Type:

Full Time

Shift:

Evening

No Preference

Intermediate / A-Levelor higher

Experienced Professional

Experience:

1 Year - 3 Years

60000 -80000

Medical Insurance, Provident Fund, Market Competitive Salary