Process Associate (India)

Process Associate (India)

05 Oct
|
Knack RCM
|
India

05 Oct

Knack RCM

India

TITLE: Process Associate – AR Caller
Location: Mohali
Experience: 1+ Years

POSITION SUMMARY
We are looking for motivated and detail-oriented Process Associates – AR Caller to join our US Healthcare Revenue Cycle Management (RCM) team. The role involves working on Accounts Receivable (AR) Follow-up by interacting with US insurance companies to resolve outstanding claims, identify payment issues, and support revenue recovery efforts.
The ideal candidate should have prior experience in US Healthcare AR processes, strong communication skills, and the ability to work effectively in a fast-paced, target-driven workplace.

KEY RESPONSIBILITIES
Accounts Receivable Follow-up
• Follow up with insurance companies on outstanding medical claims via phone calls.
• Review unpaid, underpaid, denied, and pending claims to determine appropriate action.
• Verify claim status, payment details, denial reasons, and reimbursement information.
• Document call outcomes and update account notes accurately in the billing system.
• Work assigned AR inventories and ensure timely resolution of claims.




• Escalate complex accounts and payer issues as required.

Claims & Insurance Coordination
• Contact insurance representatives to obtain claim status and payment updates.
• Follow up on denied and rejected claims for reprocessing and payment.
• Identify reimbursement discrepancies and coordinate corrective actions.
• Understand payer-specific guidelines and billing requirements.
• Support timely collection of outstanding receivables and revenue recovery.

Quality & Compliance
• Ensure adherence to client processes, quality standards, and productivity targets.
• Maintain HIPAA compliance and patient data confidentiality.
• Follow established SOPs, payer guidelines, and organizational policies.
• Participate in quality reviews, feedback sessions, and process improvement initiatives.

Learning & Performance
• Stay updated on insurance policies, reimbursement guidelines, and AR processes.
• Particip

📌 Process Associate (India)
🏢 Knack RCM
📍 India

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