Job Summary
We are seeking a detail-oriented AR Specialist with experience in U.S. healthcare Revenue Cycle Management to manage insurance accounts receivable, resolve unpaid and denied claims, and maximize reimbursements through timely follow-up with insurance payers.
Key Responsibilities
- Perform insurance AR follow-up on outstanding claims.
- Investigate and resolve denied, rejected, and underpaid claims.
- Submit claim appeals and supporting documentation.
- Contact insurance companies to obtain claim status and payment updates.
- Analyze EOBs/ERAs and identify payment discrepancies.
- Ensure timely resolution of aging accounts.
- Meet productivity and quality targets while maintaining accurate documentation.
- Comply with HIPAA, CMS, and payer guidelines.
Required Skills
- Strong knowledge of Insurance AR follow-up and denial management.
- Experience with Medicare, Medicaid, and commercial insurance payers.
- Ability to interpret EOBs, ERAs, and payer policies.
- Familiarity with EMR/EHR and practice management systems.
- Excellent communication, analytical, and problem-solving skills.
Pay: ₹25,000.00 - ₹35,000.00 per month
Benefits:
Application Question(s):
- Describe your process for troubleshooting recurring claim rejections in simple steps.
- How many years of experience do you have working specifically with Denials in medical billing/RCM?
- Are you thoroughly familiar with the claims appeals process?
- Which clearing houses have you worked with?
- What causes this rejection and how do you resolve it: "Claim rejected: Billing Provider Tax ID and NPI mismatch"
- Are you located in India?
- Which billing systems do you have hands-on experience with?
- What is your expectation for compensation regarding this role?
Work Location: Remote
