13 Sep
|
EMPClaims
|
Ahmedabad
13 Sep
EMPClaims
Ahmedabad
About the Role:We are hiring for AR Calling (Accounts Receivable Follow-up) in the US Healthcare Revenue Cycle Management (RCM) process. This role requires calling insurance companies (Medicare, Medicaid, Commercial payers) to follow up on outstanding claims, resolve denials, and ensure timely reimbursement.Note: This is a US Healthcare RCM voice process, not a general accounting/bookkeeping/finance role. Candidates without US healthcare AR/RCM background will not be considered.Key Responsibilities:Make outbound calls to US insurance companies to follow up on unpaid/denied claimsAnalyze EOBs (Explanation of Benefits)
and ERAs to determine claim statusIdentify reasons for claim denials and take corrective action (denial management)Work on aging AR buckets and prioritize claims based on aging/dollar valueUpdate claim status and notes accurately in the billing softwareCoordinate with the coding/billing team for claim corrections and resubmissionsMeet daily/weekly productivity and quality targetsMandatory Skills & Experience:1 to 5 years of hands-on experience in US Healthcare AR calling / Denial Management (mandatory)Robust understanding of RCM process: claims submission, denial management, AR follow-upKnowledge of CPT, ICD-10, HCPCS, EOB, ERA, and clearinghouse processesExcellent spoken English communication (voice process — mandatory)Willingness to work in US shift timings 6 PM to 3 AM
📌 Ar Executive – Us Healthcare Rcm (Denial Management) (Ahmedabad)
🏢 EMPClaims
📍 Ahmedabad