Steadfast Health

Accounts Receivable

• Perform consistent follow-up on outstanding insurance claims
• Work assigned accounts receivable and payer worklists according to RCM priorities and aging guidelines
• Research unpaid, underpaid, rejected, and denied claims and determine resolutions
• Contact insurance payers through portals, telephone, and other resources
• Review claim statuses, remittance information, EOBs, and ERAs
• Correct claim errors and submit corrected claims, reconsiderations, and appeals
• Resolve eligibility, authorization, coding, billing, timely filing, coordination of benefits, medical necessity, and payer-specific issues
• Follow up on denied claims to obtain payment or final disposition
• Identify underpayments and reimbursement discrepancies and escalate payer or contractual issues
• Maintain detailed account documentation and payer communication records
• Prioritize accounts based on aging, balances, deadlines, and departmental priorities
• Identify payer trends, denial patterns, workflow issues, and reimbursement barriers; escalate findings to RCM leadership
• Collaborate with coding, intake, clinical operations, and internal teams
• Support goals for Days in AR, Net Collection Rate, denial rate, timely filing, and AR reduction
• Maintain HIPAA and payer/regulatory compliance
• Assist with AR projects, account cleanup, payer research, and other revenue cycle activities
• Perform other RCM tasks as assigned

Accounts Receivable Representative