Subject Matter Expert - INR Collections

The INR Collections Subject Matter Expert (SME) serves as the primary escalation point and technical authority for insurance follow‑up and accounts receivable resolution. This role ensures timely resolution of unpaid, underpaid, and denied claims while supporting collectors through expert guidance, quality oversight, and adherence to payer rules, SLAs, and compliance standards.

Job Responsibilities

• Handles complex, high‑balance, and escalated insurance accounts requiring advanced follow‑up and payer negotiation.
• Acts as the subject matter expert on payer rules, claim statuses, denial codes, and resolution strategies.
• Provides mentoring and real‑time guidance to INR Collectors on workflows, call handling, and documentation standards.
• Reviews and resolves payer denials, delays, and underpayments by identifying root causes and corrective actions.
• Supports appeal development by supplying documentation, coordination, and ...