RCM AR Specialist Pune (Work from Office) | Night Shift: 7:30 PM 4:30 AM IST

We're hiring RCM AR Specialists to join our Revenue Cycle Management team in Pune. In this role, you'll own the recovery and management of accounts receivable for our US healthcare clients. You'll research and follow up on medical insurance claims, prepare appeals, and work directly with insurance carriers to resolve claims and hit our AR targets.

What you'll do
Follow up on unpaid claims using aging reports, correspondence, clearinghouse and PM rejections, and client practice management systems
Handle complex payer denials and prepare effective appeals
Make sure secondary claims are processed and paid
Monitor and reconcile held and unbilled vouchers, denial trends, patient balances, and credits/refunds
Answer and resolve client, patient, and carrier calls and requests promptly
Track and manage information requests to clients
Meet productivity, quality, and compliance goals, including 1,400 accounts worked per month




Mentor current team members as needed

What you'll bring
Experience in US healthcare AR calling and denial management
Working knowledge of CPT, ICD-10, and modifiers
Familiarity with Medicare Fee-for-Service, commercial payers, HMOs, and IPAs
Experience with billing systems such as Epic, NextGen, Allscripts, or similar
Comfort using payer websites and Laserfiche, plus basic MS Office skills
Specialty experience in Psychiatry, Internal Medicine, Orthopedics, or General Surgery is a plus
MS Access, PowerPoint, or Crystal Reports experience is a plus
Solid communication and customer service skills

Working arrangements
Willingness to work night shifts from our Pune office
After-hours and on-call support may be needed during peak periods (month, quarter, and year end), when PTO is limited

📌 Rcm Ar Specialist Us Healthcare Pune
🏢 Allscripts(India) LLP, ultimately a subsidiary of Altera Digital Health Inc.,[Altera India]
📍 Pune