Job Summary

The Associate will be responsible for managing assigned Denied and Accounts Receivable (AR) claims, ensuring timely resolution while meeting productivity and quality benchmarks. The role involves close coordination with the Team Manager, strict adherence to SOPs and internal tools, and a robust focus on first-time resolution to minimize multiple follow-ups.

Key Roles & Responsibilities
Work daily assigned denied and AR follow-up claims and resolve them in coordination with the Team Manager.
Ensure assigned claims are completed within defined productivity and quality targets.
Adhere strictly to SOPs and internal tools to maintain high-quality claim resolution.
Focus on resolving claims effectively rather than repeated follow-ups, minimizing multiple touches.
Prioritize work orders using various strategies such as:
High aging claims
High-dollar claims
Payer-wise prioritization




Run reports to perform deep-dive analysis and identify bulk claim issues.
Identify trends and root causes to reduce denials and prevent avoidable rework.

Education Qualification
Education Level: Bachelor’s Degree
Field of Study: Graduation in any stream

Required Experience & Qualifications
Minimum 2+ years of experience in US Healthcare RCM with a focus on AR Calling.
Experience handling both Federal and Commercial insurance payers in a provider setup.
Robust knowledge of billing scrubbers, clearing house, and payer rejections.
Valuable understanding of major AR scenarios across multiple payers.
Excellent communication and analytical skills.
Strong multitasking ability, including taking detailed call notes and collaborating with multiple stakeholders.

📌 Rcm Ar Analyst Hyderabad
🏢 ModMed Technologies India Private
📍 Hyderabad