RCM AR Administrator (Ciudad de México)

RCM AR Administrator (Ciudad de México)

24 ago
|
INMAR INTELLIGENCE
|
Ciudad de México

24 ago

INMAR INTELLIGENCE

Ciudad de México

This role is office-based in Mexico. The role requires professional fluency in English (spoken and written).
Position Summary:
Under the general supervision of the Operations Supervisor, the A/R Administrator, PFM A/R performs detailed level process and account analysis based on the client(s) in which they are assigned in order to provide reconciliation services to our pharmacy clients. Duties include researching and resolving unapplied cash and collaborating with Client Experience partners to ensure client needs are met timely and accurately.
Primary Accountabilities:
Operational (60%)
Review unapplied checks daily and escalate issues that cannot be resolved within specified deadlines
Internally and externally document efforts to resolve unapplied cash
Research and request missing remittance via online portals, working with the Payer Relations Team to secure electronic remittance, or contacting the insurance carrier to request paper remittance
Process remittance received in order to create payment batches for association
Resolve payment batch exceptions

Analytical (30%)




Perform trending analysis of unapplied cash and provide actionable recommendations to leadership, operations and account teams
Complete research, trending and analysis in order to accurately identify which open checks can be manually associated to available payment batches
Use root cause analysis to identify and resolve issues

Administrative (10%)
Follow HIPAA policies and procedures per company guidelines
Participate in required and targeted departmental trainings, which may include (but are not limited to) AI, finance, systems, compliance, and process improvement initiatives
Complete ongoing learning and development activities that evolve year-over-year to support departmental, organizational, and industry changes

Required Qualifications:
High School Diploma/GED
1-2 years of related work experience and/or any equivalent combination of experience and training that provides the required knowledge

📌 RCM AR Administrator (Ciudad de México)
🏢 INMAR INTELLIGENCE
📍 Ciudad de México

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