Job Description
The AR Management Specialist is responsible for managing and resolving accounts receivable for home health and hospice claims after submission. This role focuses on timely follow-up, denial resolution, payer communication, and ensuring accurate reimbursement in compliance with Medicare, Medicaid, and commercial payer guidelines.
Key Responsibilities
• Follow up on submitted home health and hospice claims with Medicare, Medicaid, and commercial payers
• Investigate and resolve unpaid, underpaid, or denied claims in a timely manner
• Analyze Explanation of Benefits (EOBs) and remittance advice to identify discrepancies
• Submit claim corrections, rebills, and appeals as needed
• Communicate with payers via phone, portals, and written correspondence to resolve claim issues
• Maintain accurate documentation of all follow-up actions and payer communications
• Work closely with team leads for account resolution
• Monitor AR aging reports an...