AR Executives Specialty Claims | US Healthcare RCM | Multiple Openings

Radiology, Cardiology, Ophthalmology, Pulmonary, Neurology, Vascular & Procedures

Company: NPB Consultants Pvt. Ltd. (NPB Health)

Location: New Delhi office

Experience: 2-7 years in US Healthcare AR / claims

Shift: 6:30 PM 3:30 AM IST (US Eastern business hours)

Openings: 15

Notice Period: Immediate to 30 days preferred

About Us

NPB Consultants Pvt. Ltd. (NPB Health) is a trusted partner in US Healthcare Revenue Cycle Management. We support a large multi-specialty medical group in New York with 130+ providers across 20+ locations, working directly on their claims across a wide range of specialties. We're expanding our RCM team and hiring AR professionals at multiple levels as our work grows. Join a team that values skill, integrity, and excellence.

Role Overview

We're looking for hands-on AR professionals who work claims every day: following up with payers, resolving denials, working aged and backlog AR, correcting and resubmitting claims, and getting them paid. You'll work on specialty claims across Radiology, Cardiology, Ophthalmology, Pulmonary, Neurology, Vascular, and procedure-based services, primarily with New York payers.

This is a production role for people who enjoy resolving claims, not a reporting or analyst role.

Positions Available

- AR Executive (2–4 years): Work assigned claims, including follow-up, denial resolution, and resubmission.
- Senior AR Executive (4–7 years): Handle complex specialty claims, appeals, and high-value or aged AR, and support newer team members.

Candidates will be placed at the right level based on experience and assessment.

Key Responsibilities

- Work assigned AR claims end to end:



check claim status, identify why a claim is unpaid or denied, and take the action needed to get it paid.
- Follow up with payers through calls, payer portals, and clearinghouse tools.
- Resolve denials and rejections by correcting claims, resubmitting, submitting corrected claims, or filing appeals and reconsiderations with supporting documentation.
- Handle specialty-specific issues, including prior authorization denials for imaging and procedures, medical necessity denials, modifier issues, global period and bundling edits, and professional vs. technical component billing.
- Work claims for New York plans, including NYS Government Employees (Empire Plan), Fidelis Care, EmblemHealth, BCBS, Medicare, Medicaid, and commercial payers.
- Document every action clearly and accurately in the practice management system.
- Prioritize claims by age, value, and timely filing risk to prevent write-offs.
- Work aging AR (60+, 90+, and 120+ days), including older backlog claims. Identify why they're unresolved, check timely filing and appeal deadlines, and take action to recover payment before the claims become uncollectable.
- Handle no-response and "no claim on file" cases by verifying submission history, obtaining proof of timely filing, and resubmitting or appealing as needed.




- Flag recurring denial patterns to the Team Lead so root causes can be fixed upstream.
- Meet daily productivity and quality targets.
- Follow HIPAA requirements and handle patient information securely at all times.

Required Skills

- 2+ years of hands-on US Healthcare AR follow-up and denial management experience.
- Hands-on experience working claims in at least two of these specialties: Radiology, Cardiology, Ophthalmology, Pulmonary, Neurology, Vascular, or procedure-based services.
- Experience working aged AR (90+ days), including knowledge of payer timely filing and appeal limits.
- Strong knowledge of CARC/RARC denial codes and how to resolve them.
- Working knowledge of CPT, ICD-10, and common modifiers (e.g., 25, 26, TC, 59/XS, 24, 79, RT/LT).
- Understanding of prior authorization, medical necessity, global periods, bundling (NCCI edits), timely filing, and COB.
- Experience with payer portals (e.g., Availity, payer-specific portals) and payer calling.
- Experience with at least one PM/EMR system.
- Valuable spoken and written English for payer calls and claim documentation.
- Accuracy, attention to detail, and ownership of assigned claims.

Nice to Have

- Experience with Current York plans: Empire Plan, Fidelis Care, EmblemHealth, BCBS, NY Medicaid.
- Experience with eClinicalWorks (strong plus).
- Experience with radiology benefit managers and authorization vendors (e.g., eviCore, Carelon).
- Appeals writing experience.
- Multi-specialty group experience.
- Coding certification (CPC or similar).

Why Join NPB Health Career growth opportunities, a supportive work culture, performance recognition, and competitive benefits.

📌 AR Executives - Specialty Claims (US Healthcare) | Multiple Openings (Delhi)
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📍 Delhi