About RapidClaims
RapidClaims is a leader in AI-driven revenue cycle management, transforming medical coding and revenue operations with cutting-edge technology. The company has raised $11 million in total funding from top investors, including Accel and Together Fund.
Join us as we scale and revolutionize healthcare operations through AI-powered solutions and powerful Large Language Models (LLMs) to make medical coding faster, smarter and significantly more accurate.
Sr. Accounts Receivable (AR) Specialist- Job Overview
We are looking for an experienced Sr. Accounts Receivable (AR) Specialist to join our Revenue Cycle Management (RCM) team. This role is responsible for driving timely resolution of outstanding claims, working aged AR, and reducing days sales outstanding (DSO) across assigned payers and specialties. The ideal candidate has strong end-to-end RCM knowledge, is comfortable working directly with payers, and can independently prioritize and resolve complex claim issues.
As a senior member of the AR team, this person will also mentor junior AR callers/processors, identify recurring denial and non-payment trends, and work cross-functionally with coding, billing, and denials management to accelerate cash collection.
Shift: Night Shift – US Business Hours (EST/CST overlap)
Work Mode: Work From Office mandatory
Key Responsibilities:
● Work aged AR and outstanding claims across assigned payers/specialties, prioritizing high-dollar and high-risk claims first.
● Follow up with payers via calls, portals, and IVR to resolve unpaid, underpaid, or pending claims within timely filing limits.
● Analyze claim status, denial codes, and remittance advice (EOB/ERA) to determine appropriate next action — appeal, resubmission, or write-off.
● Coordinate with coding, billing, and denials management teams to resolve root causes and prevent recurring AR aging.
● Draft and submit appeals and reconsideration requests for underpaid or denied claims, ensuring timely turnaround.
● Track and report key AR metrics — days in AR, aging buckets, collection rate, and DSO — to leadership.
● Identify payer-specific trends, delays, or policy changes impacting collections, and escalate as needed.
● Mentor and guide junior AR callers/processors on complex claims and payer escalations.
● Maintain accurate, up-to-date notes and documentation in the billing/EHR system for every account worked.
Required qualifications:
● 7–8+ years of experience in US Healthcare Accounts Receivable / AR follow-up within RCM.
● Strong knowledge of the claims lifecycle, payer follow-up processes, and denial/appeal workflows.
● Hands-on experience with EHR/PM and billing systems (Athena, Epic, ECW, or similar).
● Working knowledge of CPT/ICD-10 coding, modifiers, and EOB/ERA interpretation.
● Experience working commercial, Medicare, Medicaid, and managed care claims.
● Proven ability to independently prioritize and resolve high-aging, complex, or high-dollar claims.
● Strong communication skills for payer calls, appeals, and cross-functional coordination.
● Experience mentoring or guiding junior team members is a plus.
Ability to commute/relocate:
- Bangalore City, Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Preferred)
Application Question(s):
- How many years of experience in Accounts Receivable(AR)
Shift availability:
Work Location: In person
