Experience: 1-3 Years (Hospital Billing) OR 3-5+ Years (Physician Billing)
Job Location: [Hyderabad]
Notice Period: Immediate Joiners
Job Summary:
We are looking for an experienced SR Specialist Accounts Receivable (AR) to manage AR follow-up, denial management, and revenue cycle activities. The ideal candidate should have strong experience in AR Calling, Denial Management, and Medical Billing processes.
Key Responsibilities:
- Perform AR follow-up on outstanding insurance claims.
- Analyze and resolve denied, rejected, and underpaid claims.
- Work on denial management and appeals process.
- Follow up with insurance companies regarding claim status and payments.
- Identify root causes of denials and take corrective actions.
- Ensure timely reimbursement and reduce aging accounts receivable.
- Maintain productivity and quality standards as per organizational requirements.
- Coordinate with internal teams to resolve billing-related issues.
Preferred candidate profile
Required Skills:
- Robust experience in AR Calling.
- Hands-on experience in Denial Management.
- Good knowledge of Medical Billing and Revenue Cycle Management (RCM).
- Excellent communication and analytical skills.
- Familiarity with US Healthcare processes and insurance guidelines.
Eligibility Criteria:
- Minimum 3 years of experience in Hospital Billing OR
- Minimum 5 years of experience in Physician Billing.
- Relevant experience in Accounts Receivable (AR) operations is mandatory.
Preferred Skills:
- Experience with appeals and denial resolution.
- Knowledge of payer policies and claim adjudication process.
- Ability to work independently and meet targets.