Work with the No. 1 Healthcare BPO
Accounts Receivable (AR) Executive with a PH Registered Nurse (PHRN) license and hospital experience typically works in healthcare-related financial operations, often within business process outsourcing (BPO) or medical billing roles. Here’s a general job description:
Job Responsibilities
- Prior Authorization Processing: Review and process authorization requests from healthcare providers.
- Medical Documentation Review: Assess patient records to ensure compliance with insurance requirements.
- Insurance Coordination: Communicate with payers to obtain approvals for medical procedures.
- Claims Management: Assist in resolving denied claims and ensuring timely reimbursements.
- Customer Service: Handle inquiries from healthcare providers and insurance companies.
- Compliance & Accu...