Industry: US Healthcare (Revenue Cycle Management)
Employment Type: Full-Time | Night Shift (US Time Zone)
Location: Office-Based | Immediate Joiners Preferred
Job Summary
We are looking for an experienced Senior AR Specialist with 3+ years of experience in US Healthcare Revenue Cycle Management (RCM), specializing in Accounts Receivable (AR), Denial Management, and Insurance Follow-up. The ideal candidate should have strong expertise in handling Ancillary Denials, resolving payer issues, maximizing reimbursements, and ensuring timely claim resolution while maintaining compliance with HIPAA and payer guidelines.
Key Responsibilities
- Manage and follow up on unpaid, underpaid, and denied insurance claims.
- Handle Ancillary Denial Management by identifying root causes and resolving denials effectively.
- Investigate claim denials, correct billing/coding errors, and submit appeals with appropriate documentation.
- Work on insurance follow-up with Medicare, Medicaid, and Commercial payers.
- Analyze AR aging reports and prioritize high-value accounts to improve collections.
- Communicate with insurance representatives and patients regarding claim status and payment resolutions.
- Ensure accurate documentation and compliance with HIPAA and payer regulations.
- Collaborate with Coding, Billing, Payment Posting, and Revenue Cycle teams to resolve claim issues.
- Generate productivity and denial analysis reports to identify trends and improve AR performance.
- Work efficiently using EMR/RCM platforms to ensure timely reimbursement.
Required Qualifications
- 3+ years of experience in US Healthcare Revenue Cycle Management (RCM).
- 3+ years of experience in Ancillary Denial Management.
- Hands-on experience in Accounts Receivable (AR), Insurance Follow-up, and Denial Resolution.
- Strong knowledge of CPT, ICD-10, HCPCS coding, payer guidelines, and AR workflows.
- Experience working with Medicare, Medicaid, and Commercial insurance payers.
- Proficiency in EMR/RCM systems such as:
- Epic
- Oracle Cerner
- Meditech
- CPSI
- NextGen
- Athena
- Artiva
- Excellent verbal and written English communication skills.
- Strong analytical, problem-solving, and time management skills.
- Ability to work night shifts (US Time Zone).
- Immediate Joiners Preferred.
- Candidates with end-to-end (Full) RCM experience will be preferred.
Preferred Qualifications
- Bachelor's degree in Life Sciences, Healthcare, Finance, or a related field.
- Certifications such as CMRS, CRCR, or equivalent.
- Experience with Tebra EMR is an added advantage.
- Prior experience supporting Internal Medicine or Family Practice specialties is a plus.
Why Join Us?
- Opportunity to work with a high-performing US Healthcare Revenue Cycle team.
- Exposure to advanced RCM operations and leading EMR platforms.
- Continuous learning, professional development, and career growth.
- Collaborative work environment with opportunities to enhance healthcare revenue outcomes.
Pay: ₹25,806.39 - ₹68,761.27 per month
Benefits:
Work Location: In person
