Industry: US Healthcare (Revenue Cycle Management)

Employment Type: Full-Time | Night Shift (US Time Zone)

Location: Office-Based | Immediate Joiners Preferred

Job Summary

Key Responsibilities
- Manage and follow up on unpaid, underpaid, and denied insurance claims.
- Handle Ancillary Denial Management by identifying root causes and resolving denials effectively.
- Investigate claim denials, correct billing/coding errors, and submit appeals with appropriate documentation.
- Work on insurance follow-up with Medicare, Medicaid, and Commercial payers.
- Analyze AR aging reports and prioritize high-value accounts to improve collections.
- Communicate with insurance representatives and patients regarding claim status and payment resolutions.
- Ensure accurate documentation and compliance with HIPAA and payer regulations.
- Collaborate with Coding, Billing, Payment Posting, and Revenue Cycle teams to resolve claim issues.
- Generate productivity and denial analysis reports to identify trends and improve AR performance.




- Work efficiently using EMR/RCM platforms to ensure timely reimbursement.

Required Qualifications
- 3+ years of experience in US Healthcare Revenue Cycle Management (RCM).:
- 3+ years of experience in Ancillary Denial Management.:
- Hands-on experience in Accounts Receivable (AR), Insurance Follow-up, and Denial Resolution.:
- Robust knowledge of CPT, ICD-10, HCPCS coding, payer guidelines, and AR workflows.:
- Experience working with Medicare, Medicaid, and Commercial insurance payers.:
- Proficiency in EMR/RCM systems such as:
- Epic
- Oracle Cerner
- Meditech
- CPSI
- NextGen
- Athena
- Artiva
- Excellent verbal and written English communication skills.:
- Strong analytical, problem-solving, and time management skills.
- Ability to work night shifts (US Time Zone).:
- Immediate Joiners Preferred.:
Preferred Qualifications
- Bachelor's degree in Life Sciences, Healthcare, Finance, or a related field.
- Certifications such as CMRS, CRCR, or equivalen

📌 Senior Ar Specialist (Rangareddy)
🏢 DOCTUS DATA SERVICES
📍 Rangareddy