Job Title:
AR Caller / AR Follow up (RCM) – Senior Executive
Job Type:
Full-Time |
Work Mode:
Work from Office
Location:
Gurugram, Sec 18
About the Position:
We are looking for an experienced
AR Denials – Senior Executive
with strong expertise in
Accounts Receivable (AR) follow-up and Denial Management
in the US Healthcare process. The ideal candidate should have a thorough understanding of denial codes and reasons such as
No Authorization, Duplicate, Bundled, Inclusive, COB (Coordination of Benefits), and others.
The role requires working directly with insurance companies, healthcare providers, and patients to ensure timely resolution of claims and denial recovery while maintaining compliance with HIPAA standards.
Key Responsibilities:
Manage
AR follow-up
focusing on denial resolution and recovery.
Analyze denials including
No Auth, Duplicate, Bundled, Inclusive, COB, Non-Covered, Medical Necessity, Timely Filing, etc.
Contact insurance companies to check claim status, understand denial reasons, and take corrective actions.
Verify accurate insurance details and patient registration data on behalf of clients.
Communicate with clients regarding potential coding, billing, or documentation issues.
Submit claims via billing software (electronic and paper) and ensure accuracy in submissions.
Follow up on unpaid or denied claims within the standard billing cycle timeframe.
Research, resolve, and appeal denied or rejected claims with appropriate supporting documents.




Perform eligibility and benefit verification through web portals or over the phone.
Review patient bills for completeness and accuracy; obtain and rectify any missing information.
Process payments including
ERA (Electronic Remittance Advice)
and
EOB (Explanation of Benefits)
posting.
Understand and apply insurance payer policies including
HMO, PPO, Medicare, Medicaid, and Commercial plans.
Maintain accurate documentation of all actions in the system.
Ensure compliance with
HIPAA
and internal quality standards.
Required Skills & Qualifications:
Minimum 2 years of hands-on experience
in
US Healthcare AR follow-up and Denial Management.
Strong understanding of denial types including
No Auth, COB, Bundled, Duplicate, Inclusive
, and other payer-specific denial reasons.
Knowledge of payer rules, coordination of benefits (COB), and appeals processes.
Familiarity with charge entry, claim submission, and payment posting (ERA/EOB).
Ability to read and interpret superbills and medical billing data.
Solid verbal and written communication skills.
Detail-oriented with the ability to multitask and meet productivity targets.
Familiarity with credentialing is a plus.
Proficient in handling Protected Health Information (PHI) in line with
HIPAA compliance.
Why Join Us?
Be part of a collaborative and growing team.
Competitive compensation and performance-based incentives.
Opportunities for skill development in the healthcare RCM domain.
Stable work environment with a focus on professional growth.

📌 Medical Biller - Ar/Denials Management (Onsite) (Haryana)
🏢 Neolytix
📍 Haryana