16 Oct
|
DirectUsHr Services
|
Andheri
16 Oct
DirectUsHr Services
Andheri
Job Title: Accounts Receivable Executive - US Healthcare
Location: Andheri East, Mumbai(Work from Office)Shift: US Central Standard Time (CST)Employment Type: Full-Time
About the Role
As an AR Executive, you will be responsible for managing accounts receivable by following up with insurance companies to resolve unpaid or denied claims. You will ensure timely collections and help reduce outstanding AR in alignment with revenue cycle goals.
Role Requirements:
• Shift Timings (US Shift): 6:30 PM to 3:30 AM / 7:30 PM to 4:30 AM
• Working Days: Monday to Friday (occasional Saturdays)
• Employment Type: Full-Time, Permanent, WFO
Key Responsibilities:
· Make outbound calls to insurance payers to check claim status and follow up on unpaid or underpaid claims.
· Investigate claim denials, underpayments, or rejections and take corrective actions including reprocessing or appeals.
· Interpret Explanation of Benefits (EOBs) and denial codes.
· Accurately document call notes, actions taken, and claim status in the billing system.
· Collaborate with team members or client billing departments to resolve complex issues.
· Achieve daily/weekly productivity and quality benchmarks (calls, resolutions, etc.).
Required Skills:
· Good spoken English and communication skills with a neutral accent.
· Knowledge of US healthcare terminology (e.g., CPT codes, ICD codes, EOBs).
· Familiarity with payers such as Medicare, Medicaid, and commercial insurances.
· Basic understanding of the end-to-end claim lifecycle in US RCM.
· Proficiency in using payer portals (e.g., Availity) and EHR/RCM software (e.g., Athena, eClinicalWorks, EPIC).
Desired Attributes:
· Strong problem-solving and analytical abilities.
· Ability to work independently and manage time effectively.
· Detail-oriented with a focus on accuracy and compliance.
· Team player with a focus on meeting KPIs and collections targets
Work Requirements
· The role involves travel opportunities; however, no transportation facility will be provided by the company
Pay: ₹30,000.00 - ₹40,000.00 per month
Advantages
- Paid sick time
- Provident Fund
Work Location: In person
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