05 Oct
|
Knack RCM
|
India
TITLE: Senior Process Associate – AR Caller
Location: Mohali
Experience: 2–5 Years
POSITION SUMMARY
We are seeking experienced and performance-driven Senior Process Associates – AR Caller to join our US Healthcare Revenue Cycle Management (RCM) team. The role involves handling complex Accounts Receivable (AR) accounts, driving claim resolution, maximizing reimbursements, and supporting overall revenue recovery objectives.
The ideal candidate should have solid expertise in AR Follow-up, Denial Management, Insurance Calling, Claim Resolution, and Payer Communication, along with the ability to mentor junior team members and consistently achieve productivity and quality targets.
KEY RESPONSIBILITIES
Accounts Receivable Management
• Perform comprehensive follow-up on unpaid, denied, underpaid, and aged claims.
• Contact insurance companies to obtain claim status and resolve reimbursement issues.
• Analyze denial reasons and take appropriate corrective actions to secure payments.
• Work on high-priority and complex AR accounts with minimal supervision.
• Ensure timely resolution of outstanding receivables to maximize collections.
• Maintain accurate documentation and account notes within billing systems.
Denial Management & Resolution
• Investigate and resolve denied and rejected claims.
• Identify patterns and root causes of denials and recommend corrective actions.
• Prepare and submit appeals, reconsiderations, and supporting documentation when required.
• Coordinate with internal teams to ensure claim accuracy and successful resolution.
• Escalate critical payer issues appropriately to management.
Productivity & Quality
• Consistently achieve productivity, quality, and collection targets.
• Ensure compliance with client-specific guidelines and organizational standards.
• Maintain high accuracy levels in documentation and account handling.
• Participate in quality reviews and implement feedback effectively.
• Support continuous improvement initiatives within the p
📌 Process Associate (India)
🏢 Knack RCM
📍 India