United Wound Healing

Accounts Receivable

• Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up
• Verify eligibility, identify payor changes, and accurately update coordination of benefits (COB); navigate payor portals to identify correct payors
• Make outbound calls and collaborate with insurance payors and partner facility business offices for claim resolution; answer incoming calls professionally
• Identify and communicate denial trends and coding issues to support clean claim processing
• Perform account reconciliation — identify overpayments, complete refund requests, and process insurance takebacks via ERAs
• Resolve assigned worklist items with detailed account documentation; maintain daily AR log reporting to Supervisor and meet department productivity standards

Accounts Receivable Specialist