We are looking for an AR Executive to manage end-to-end Accounts Receivable activities for our US healthcare Revenue Cycle Management (RCM) services. The role involves claim follow-

up, denial management, claim status verification, and payment resolution for Remote Patient

Monitoring (RPM), Chronic Care Management (CCM), Principal Care Management (PCM), and

Remote Therapeutic Monitoring (RTM) programs.

Key Responsibilities:
Follow up on insurance claims through Medicare, Availity, commercial payer portals, IVR, and insurance representatives.
Track claims submitted through Office Ally and maintain claim status
Investigate unpaid and underpaid claims and ensure timely resolution.
Analyze and resolve claim denials by submitting corrected claims and appeals.
Work closely with Billing, Coding, and Operations teams to resolve claim issues.
Maintain accurate documentation of follow-up actions and claim outcomes.
Ensure timely reimbursement while meeting daily productivity and quality targets.
Identify recurring denial trends and recommend process improvements.

Required Skills:




Good understanding of US Medical Billing and Revenue Cycle Management.
Experience in Accounts Receivable (AR) follow-up and denial management.
Knowledge of Medicare and commercial insurance payer processes.
Familiarity with CMS guidelines, CPT, ICD-10, HCPCS, modifiers, LCD/NCD, and CCI edits.
Experience using Office Ally, Availity, payer portals, and Microsoft Excel is preferred.
Excellent communication, analytical, and problem-solving skills.

Qualifications
Bachelor's degree or equivalent.
1–3 years of experience in US Healthcare AR/RCM.
Experience with RPM, CCM, PCM, or RTM billing is an added advantage.
Medical Billing/RCM certification is a plus.

Why Join us

We are a rapid-growing healthcare technology company delivering AI-enabled virtual care solutions to specialty clinics across the United States. Join us to work on cutting-edge healthcare programs, build expertise in US healthcare RCM, and grow your career in a cooperative,

technology-driven setting.

📌 Ar Executive Bengaluru (India)
🏢 Nexifyr
📍 India