Operations Executive – AR Collections

About the role.

About the role You will make sure the independent US medical practices we work with get paid for the care they provide. You will chase every unpaid and underpaid claim with the insurance company until it is paid, corrected or closed. What you will do - Work the AR aging report by priority: oldest and highest-value claims first - Call insurance companies and use payer portals to get claim status and find out why a claim is unpaid - Work denials: find the reason, fix and resubmit, or write and send appeals - Spot underpayments against the expected amount and follow them up - Record every action and next step clearly in the practice management system - Raise patterns (a payer, a code, a front-desk issue) so they are fixed at the source - Meet daily targets for claims worked and dollars collected What you need - At least one year of experience in US healthcare AR follow-up (required) - Confident, clear spoken English on calls with US insurance representatives - Experience with denials and appeals - Working knowledge of CPT, ICD-10, modifiers and EOBs - Experience with payer portals (for example Availity) is a plus How we work - Fully remote, from Sri Lanka or India - Full-time, working US business hours so you can reach insurance companies (an evening and night shift in Sri Lanka and India) How hiring works 1. Apply online and upload your CV 2. We read every application 3. Shortlisted applicants take a short skills test 4. Interview on Microsoft Teams (one or two rounds) 5. We make our decision and contact you