Position : Accounts Receivable (AR) Billing Specialist – US Healthcare
Immediate Joiners only
Job Summary
We are seeking an experienced and detail-oriented Accounts Receivable (AR) Billing Specialist to join our healthcare revenue cycle team. The ideal candidate will have extensive experience in medical billing, insurance follow-up, denial management, and claims resolution within the US Healthcare process. This role plays a critical part in ensuring timely reimbursements, reducing outstanding AR, and maximizing revenue recovery.
Key Responsibilities
- Follow up on unpaid insurance claims and patient balances to ensure timely reimbursement.
- Investigate, analyze, and resolve denied, rejected, or underpaid claims.
- Submit corrected claims, appeals, reconsiderations, and supporting documentation.
- Monitor clearinghouse reports and payer portals for claim status updates.
- Conduct outbound calls to insurance companies for claim resolution and payment follow-up.
- Review and manage aging reports, prioritizing accounts based on aging and value.
- Verify insurance payments, adjustments, and reimbursement accuracy.
- Identify denial trends and recommend process improvements to reduce future denials.
- Maintain accurate documentation of all account activities and follow-up actions.
- Collaborate with billing, coding, and operations teams to resolve claim-related issues.
- Ensure compliance with HIPAA regulations, CMS guidelines, and payer-specific policies.
- Consistently meet productivity and quality targets, including handling 35+ claims per day.
Required Qualifications
- Minimum 2+ years of experience in Medical Accounts Receivable (AR), Medical Billing, or Revenue Cycle Management within the US Healthcare process.
- Strong expertise in insurance follow-up, denial management, appeals, and claims resolution.
- Hands-on experience with Medicare, Medicaid, and Commercial Insurance plans.
- Proven ability to manage high-volume AR follow-up while maintaining accuracy and productivity.
- Strong understanding of claim life cycles, reimbursement processes, and payer guidelines.
- Excellent analytical, problem-solving, organizational, and communication skills.
- Ability to work independently in a fast-paced environment and manage multiple priorities effectively.
Preferred Qualifications
- Experience with eClinicalWorks (eCW).
- Familiarity with CPT, ICD-10, and HCPCS coding.
- Experience handling complex appeals and escalated payer issues.
- Strong knowledge of healthcare revenue cycle management processes.
What We Are Looking For
- Results-driven professionals with a strong AR recovery track record.
- Candidates who can independently manage insurance follow-ups and denials.
- Individuals with exceptional attention to detail and productivity-focused work habits.
- Team players who thrive in a fast-paced healthcare environment.
Education
Experience
- 2+ Years in Medical AR/Billing (US Healthcare Process)
Job Type
Pay: ₹25,000.00 - ₹35,000.00 per month
Work Location: Remote
