We are looking for an experienced AR Executive with a minimum of 2 years of experience in US Healthcare/Physician Billing to join our Revenue Cycle Management (RCM) team. The ideal candidate should have solid knowledge of accounts receivable processes, insurance follow-ups, claim denials, payment issues, and outstanding account resolution.
The candidate will be responsible for managing unpaid and underpaid claims, following up with insurance companies, identifying claim issues, and ensuring timely resolution to improve collections.
Key Responsibilities
- Handle Accounts Receivable (AR) for Physician Billing accounts.
- Perform regular follow-ups with insurance companies regarding unpaid and outstanding claims.
- Analyze and resolve denied, rejected, underpaid, and unpaid claims.
- Review claim status through payer portals and by contacting insurance companies.
- Identify the reason for claim denials and take appropriate action for resolution.
- Work on aging AR, prioritizing accounts based on outstanding amounts and aging buckets.
- Prepare and submit appeals,
reconsiderations, and corrected claims when required.
- Review EOBs/ERAs and identify payment discrepancies.
- Maintain accurate documentation of all follow-up activities and account actions.
- Coordinate with internal teams such as Billing, Payment Posting, and Coding to resolve claim-related issues.
- Meet daily/weekly productivity and quality targets.
- Ensure compliance with company processes and client-specific requirements.
- Escalate complex or unresolved accounts to the appropriate team or management.
Required Skills & Qualifications
- Minimum 2 years of experience in US Healthcare AR / Physician Billing.
- Robust understanding of US Healthcare Revenue Cycle Management (RCM).
- Good knowledge of physician billing and insurance claim processes.
- Experience handling denials, rejections, underpayments, and outstanding AR.
- Familiarity with insurance payer portals and claim status verification.
Pay: ₹11,000.00 - ₹42,000.00 per month
Benefits
- Commuter assistance
- Food provided
- Health insurance
- Paid sick time
- Paid time off
- Provident Fund