Job Summary:
We are seeking a skilled Accounts Receivable Specialist (Preferred inpatient / Hospital AR Experience) with experience in U.S. healthcare billing and collections. The ideal candidate will manage the entire Accounts Receivable process, including claim submission, correction, appeals submission, denial management, and follow-up with insurance carriers and patients. Your work will directly impact our revenue cycle efficiency and cash flow.
Key Responsibilities:-
- Re-submit claims electronically or manually to insurance carriers (Medicare, Medicaid, Commercial, etc.).
- Conduct insurance follow-up on unpaid or denied claims through phone calls and online portals.
- Analyse and resolve claim rejections, denials, and underpayments.
- Accurately post insurance and patient payments in the billing system (ERA, EOB, patient payments).
- Maintain ageing reports and ensure AR is within target levels.
- Document all activities in the billing system with clear notes and next actions.
- Communicate with payers, patients, and internal departments to resolve billing issues.
- Stay updated with payer guidelines and healthcare regulations (HIPAA, CMS).
- Assist in month-end reconciliation and reporting as required.
Requirements: A high school diploma or equivalent is required. An associate degree or higher in healthcare administration, finance, or a related field is preferred. At least two years of experience in U.S. healthcare accounts receivable (AR) is essential. A strong understanding of various healthcare insurance types, including Medicare, Medicaid, PPO, HMO, and Workers’ Compensation, is crucial. Experience with medical billing software, such as Athenahealth, eClinicalWorks, Kareo, Epic, or AdvancedMD, is highly desirable. Proficiency in using clearinghouses and insurance portals for claim tracking and appeals is essential. Excellent written and verbal communication skills are a must. Detail-oriented with strong analytical and problem-solving abilities are preferred. A solid understanding of HIPAA and healthcare compliance regulations is essential.
Pay: ₹16,000.00 - ₹45,000.00 per month
Work Location: In person
