26 Oct
|
The closing Gap
|
Thiruvananthapuram
26 Oct
The closing Gap
Thiruvananthapuram
Job Summary
We are hiring US Healthcare AR Executives to support the revenue cycle management operations of a US-based outpatient physical and occupational therapy provider.
The role focuses on accounts receivable (AR) follow-up, outstanding claim resolution, insurance reimbursement, and denial management, with a specialization in Medicare Part B billing.
Key Responsibilities
- Follow up on outstanding, unpaid, and underpaid insurance claims.
- Contact insurance companies to check claim status and resolve payment delays.
- Investigate claim rejections and denials and coordinate corrective actions.
- Handle claim resubmissions and support appeals.
- Review Medicare Part B claims for outpatient physical and occupational therapy services.
- Understand CPT/HCPCS codes, ICD-10-CM diagnosis codes, modifiers, and therapy billing requirements.
- Monitor AR aging reports and prioritize overdue claims.
- Identify recurring denial patterns and assist with root-cause analysis.
- Coordinate with billing teams and the US client to resolve reimbursement issues.
- Maintain accurate records of follow-ups and claim status updates.
- Prepare AR performance reports and meet productivity and quality targets.
- Ensure compliance with HIPAA and client data-security requirements.
Candidate Requirements
- Graduate in any discipline; healthcare-related I qualifications are preferred.
- Prior experience in US healthcare AR follow-up or medical billing.
- Knowledge of insurance claims processing, reimbursement cycles, and denial resolution.
- Familiarity with Medicare Part B billing is highly preferred.
- Experience in outpatient physical or occupational therapy billing is an added advantage.
- Familiarity with medical billing software, practice management systems, and MS Excel.
- Robust analytical, problem-solving, and communication skills.
- Good written and spoken English.
- Willingness to work in a shift aligned with US client operations.
Experience
- AR Executives: 1–3 years of relevant experience.
- Senior AR / RCM Professionals: 3–5 years of relevant experience, with experience in complex claims, denial resolution, reporting, or quality checks.
Performance Expectations
- Timely follow-up and resolution of outstanding claims.
- Reduction of overdue accounts receivable.
- Effective resolution of denials and payment discrepancies.
- Accurate documentation and reporting.
- Achievement of agreed productivity, quality, and collection targets.
Pay: ₹20,000.00 - ₹87,000.00 per month
Work Location: In person
📌 US Healthcare AR Executive (Thiruvananthapuram)
🏢 The closing Gap
📍 Thiruvananthapuram