Job Description
- n
- Key Responsibilities for AR:n
- Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis.n
- Understand the reason for rejection, denials, or no status from the payer.n
- Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e., calling, IVR, web, or email.n
- Take appropriate action to move the account towards resolution, including rebilling the claim, sending claims for reprocessing, reconsideration, redetermination, appeal (portal/web, fax, mail), verifying eligibility and benefits, and managing management hand-off with the client and internal teams.n
- Documentation of all the actions on the practice management system and workflow management system, and maintain an audit trail.n
- Ensure adherence to Standard Operating Procedures and compliance.n
- Highlight any global trend/pattern and issue escalation with the leadership team.n
- Meet the productivity and quality target on a daily/monthly basis.n




- Upskill by learning recent/additional skills and enhancing competencies. Active participation in all process/client-specific training and refresher training.n
- Requirements:n
- Undergraduate / Graduate in any stream with 2 to 4 years of experience in US Healthcare RCM for Account Receivable / Denial Management Resolution.n
- Fluent communication, both verbal and written.n
- Good analytical skills, attention to detail, and resolution-oriented.n
- Should have knowledge about the RCM end-to-end cycle and proficiency in AR fundamentals and denial management.n
- Basic knowledge of computers and MS Office.n
- Key Responsibilities for EVBV:n
- Review and verify patient insurance coverage, eligibility, and benefits prior to appointments or claim submission.n
- Conduct insurance verification through payer websites, IVR systems, or direct calls to insurance companies.n
- Accurately document insurance ben

📌 AR Callers (Mumbai)
🏢 RevUpside Business Solutions Private
📍 Mumbai