Job Summary:
Work Mode: Work from Office
Shift Timings: 8pm to 5am/9pm to 6am (Night Shift)
Location: Mumbai
What We Are Looking For:
Payment Reconciliation & Posting :
- Work closely with the payment posting team to ensure correct application of payments and adjustments.
- Reconcile daily AR reports and accounts to track collections and pending claims.
- Identify and escalate billing errors or discrepancies for resolution.
Denial Management & Appeals:
- Analyze denial trends and collaborate with the billing team to correct recurring issues.
- Prepare and submit appeals for denied or underpaid claims with appropriate documentation.
- Maintain records of appeal status and follow up with insurance carriers.
Reporting & Compliance :
- Generate and maintain aging reports, AR summaries, and collection reports.
- Ensure compliance with HIPAA, Medicare, Medicaid, and private payer policies.
- Document all collection activities and maintain accurate AR records.
- Work with the billing, payment posting, and coding teams to resolve claim discrepancies.
- Communicate with insurance representatives and internal stakeholders to streamline the AR
(Mandatory Qualifications & Skills):
- Bachelor’s degree in Accounting, Finance, Business Administration, or a related field (preferred).
- 1+ years of experience in accounts receivable, medical billing, or revenue cycle management.
- Experience with RCM software (e.g., EPIC, Athenahealth, Cerner, eClinicalWorks, NextGen, Kareo, or Meditech).
What Would Make You Stand Out:
Skills/ Behavioural Skills:
