Job Title: Accounts Receivable Specialist (Healthcare)
Company: Tata Consultancy Services (TCS) – Hiring for a Leading Healthcare Client
Work Mode: Onsite / Hybrid / Remote
Shift: Monday – Friday, 8:00 AM – 4:30 PM EST (or as per business requirements)
Role Overview
TCS is hiring an Accounts Receivable Specialist for a global healthcare client. This role is part of the Revenue Cycle Management (RCM) function and focuses on medical billing, claims processing, and insurance follow-ups.
The ideal candidate will have hands-on experience in medical billing, claims lifecycle, and AR follow-ups, along with solid analytical and communication skills.
Key Responsibilities
Claims & Billing Management
- Prepare, review, and submit medical claims (electronic & paper) to insurance providers
- Ensure accuracy of billing data and supporting documentation
- Verify patient insurance eligibility and benefits
Accounts Receivable & Collections
- Follow up on unpaid, denied, or rejected claims within TAT
- Investigate and resolve discrepancies in payments
- Work closely with insurance companies for claim resolution
Denials & Appeals
- Analyze denied claims and initiate appeals with proper documentation
- Identify root causes and implement corrective actions
Payment Processing & Reconciliation
- Post payments and ensure accuracy in financial records
- Review insurance payments for completeness and compliance
Customer & Stakeholder Interaction
- Assist patients with billing queries and payment plans
- Respond to client, vendor, and internal stakeholder requests
Compliance & Documentation
- Maintain patient records in compliance with HIPAA regulations
- Follow internal financial controls and standard operating procedures
Required Qualifications
- Graduate (Bachelor’s degree in Commerce, Business, or related field preferred)
- 2+ years of experience in Medical Billing / Revenue Cycle Management
- Strong understanding of Accounts Receivable processes
- Knowledge of ICD-10 coding and medical terminology
- Proficiency in MS Excel and billing systems
- Good understanding of healthcare claims lifecycle
Key Skills
- Strong analytical and problem-solving abilities
- Excellent verbal and written communication skills
- Ability to multi-task and meet tight deadlines
- High attention to detail and accuracy
- Ability to work both independently and in a team environment
- Strong organizational and prioritization skills
What We’re Looking For
- Basic understanding of financial processes and controls
- Ability to handle non-standard queries and exceptions
- Willingness to learn and grow within a structured environment
- Comfortable working in US shift timings
Compensation & Benefits
(As per client policies)
- Competitive salary package
- Health insurance (medical, dental, vision)
- Paid time off and parental leave
- Retirement benefits (401k / equivalent)
- Wellness and work-life support programs
Why Join Through TCS?
- Opportunity to work with a global healthcare leader
- Exposure to international healthcare processes (US RCM)
- Structured career growth and learning environment
- Stable and process-driven work culture
📌 Accounts Receivable Specialist (Healthcare), TCS (Gurugram)
🏢 TCS
📍 Gurugram