Job Summary
As Executive – AR Analysis at Maxenra, you will be responsible for maximizing client reimbursement through accurate and timely processing of medical billing reports. This role requires strong analytical skills, attention to detail, and a deep understanding of U.S. healthcare billing standards and compliance.
Roles and Responsibilities
- Maximize insurance reimbursements for US-based healthcare providers through detailed review and system-based follow-up
- Analyze root causes of claim denials, underpayments, or payment delays using payer portals, EOBs, and claim data
- Monitor, track, and reconcile aged accounts receivable reports, identifying trends and prioritizing resolution actions
- Follow up via electronic channels (payer portals, secure email) with insurance carriers for claim status updates and issue resolution
- Identify denial patterns and prepare structured appeal packages in compliance with payer requirements
- Collaborate with clinicians and internal billing teams to correct claim data and resubmit as needed
- Manage assigned receivables portfolio and maintain updated documentation in the RCM system
- Perform denial analysis and initiate appeal processes within specified timelines
- Escalate complex cases to Team Leaders with detailed case summaries and supporting documentation
Job Requirements
- Education: Undergraduate Degree – preferably in Arts or Science
- Experience: 1 to 3 years in U.S. Medical Billing or AR Analysis
- Skills:
- Proven experience in medical billing or similar role
- Ability to multitask and manage time effectively
- Strong problem-solving and analytical skills
- Good written and verbal communication skills
- Attention to detail and commitment to confidentiality
Additional Information
This is a performance-based role with clear targets and quality benchmarks. Successful candidates will receive comprehensive mentorship to grow within the organization.