Job Purpose and Position Overview:

As an AR Executive, you will be responsible for driving efficiency in the Accounts Receivable (AR) process through effective claim resolution, timely follow-ups, and minimizing AR aging. This role requires proactive investigation of denials, resubmission of claims, and ensuring adherence to payer compliance rules. You will play an integral part in maintaining financial health by reducing outstanding receivables, supporting escalations, and ensuring operational accuracy.

Your contributions will directly support cash flow improvement, compliance, and long-term client satisfaction.

Specific Job Duties and Responsibilities:

- Investigate claim denials, identify causes, and resubmit claims accurately to secure reimbursement.

- Monitor and track AR aging reports, ensuring overdue accounts are addressed promptly to reduce outstanding balances.

- Prioritize high-value claims strategically to accelerate payment recovery and maximize cash flow.

- Address underpayments immediately by validating payer adjustments and taking corrective measures.

General Responsibilities

- Support the AR process by assisting with escalations, ensuring accuracy, and maintaining compliance in claim handling.

- Collaborate with team members and supervisors to resolve systemic issues impacting AR performance.

Daily Routine
- Plan and prioritize daily tasks to ensure efficient workflow management and timely resolution of claims.

- Handle claim tickets and denials promptly,



ensuring accurate documentation and corrective action.

- Perform AR follow-ups to prevent delays and minimize claim backlogs.

- Transparent all follow-up due claims systematically to maintain process efficiency.

- Identify recurring global issues and escalate them to management for long-term resolution.

- Work on no-response claims older than 30 days, escalating or reprocessing to avoid financial loss.

Weekly Routine

- Prepare and provide AR clarifications to support supervisors and clients with accurate claim updates.

- Review denial trends weekly to identify recurring issues and propose corrective measures.

- Work on secondary claims, ensuring appropriate billing and timely reimbursement.

- Conduct a detailed review of secondary claims every Monday to align priorities for the week.

Monthly Routine

- Support month-end AR reconciliations by verifying account balances, identifying discrepancies, and preparing reports.

- Provide red zone client updates to highlight at-risk accounts and recommend action plans.

Quarterly Routine

- Review and analyze Quarterly Performance Reports (QPR) to assess AR efficiency, highlight trends, and recommend improvements.

Annual Routine

- Participate in Yearly Performance Reviews (YPR) to evaluate overall AR performance and set new targets.

- Stay updated with fee schedule changes to ensure accurate and compliant billing practices.

- Remain aware of payer or regulatory guideline changes and adjust AR processes to maintain compliance.

📌 Senior Executive (Tiruchirappalli)
🏢 Billed Right HealthCare Solutions
📍 Tiruchirappalli