Job Title: AR Denial Management Executive

Industry: US Healthcare - Revenue Cycle Management (RCM)
Employment Type: Full-Time
Shift: Night Shift (US Shift)
Location: Office-Based
Experience: 2-6 Years

Job Summary

Key Responsibilities
- Review and analyze denied, rejected, and underpaid insurance claims.
- Identify denial root causes and take appropriate corrective actions.
- Perform timely follow-up with insurance payers through calls and payer portals.
- Submit corrected claims, appeals, and reconsiderations to ensure reimbursement.
- Work on AR aging reports and prioritize high-value claims.
- Resolve claim issues related to authorization, eligibility, coding, timely filing, COB, and medical necessity.
- Document all follow-up activities accurately in the billing system.
- Coordinate with Coding, Charge Entry, Payment Posting, and other RCM teams for claim resolution.
- Ensure compliance with HIPAA guidelines and payer policies.
- Meet daily productivity,



quality, and turnaround time (TAT) targets.

Required Skills:
- Strong knowledge of US Medical Billing and Revenue Cycle Management (RCM).
- Hands-on experience in AR Follow-up and Denial Management.
- Good understanding of CPT, ICD-10, HCPCS, EOBs, and ERA.
- Experience working with commercial and government insurance payers.
- Familiarity with EMR/RCM tools such as Epic, Cerner, Athena, NextGen, eClinicalWorks, or similar.
- Excellent analytical, communication, and problem-solving skills.

Qualifications:
- Any Graduate.
- 2-6 years of experience in US Healthcare AR Follow-up / Denial Management.
- Immediate joiners will be preferred.

Pay: ₹20,000.00 - ₹25,000.00 per month

Advantages:
- Health insurance
- Provident Fund

Work Location: In person

📌 Ar - Denial Management (Us Health Care) (Ameerpet)
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