About the Role:

We are looking for experienced specialists in Accounts Receivable (AR), Prior Authorization, Payment Posting, and, Eligibility & Perks Verification within the U.S. Healthcare industry.

The ideal candidates should have hands-on experience in provider-side healthcare operations, strong communication skills, and a positive understanding of medical billing processes.

Key Responsibilities:
Accounts Receivable (AR): Manage claim follow-ups, denial management, outstanding balances, and payment tracking to ensure timely reimbursement.
Prior Authorization: Process authorization requests, coordinate with insurance providers, and follow up on pending approvals.
Payment Posting: Post insurance and patient payments accurately, reconcile payments against claims, review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), and identify underpayments, denials, and discrepancies.
Eligibility & Benefits Verification: Verify patients’ insurance coverage, eligibility, benefits, copayments, deductibles, and out-of-pocket expenses.
Coordinate with healthcare providers,



insurance payers, and patients to resolve billing, payment, and authorization-related queries.
Follow up on outstanding claims, payment discrepancies, and pending authorization requests to ensure timely resolution.
Maintain accurate documentation and adhere to payer guidelines, established procedures, and healthcare compliance requirements.

Mandatory Requirements:
Minimum 2+ years of experience in U.S. healthcare provider-side operations.
Hands-on experience in one or more of the following areas: Accounts Receivable (AR), Prior Authorization, Payment Posting, or Eligibility & Benefits Verification.
Strong understanding of U.S. healthcare billing processes and insurance workflows.
Excellent verbal and written communication skills.
Flexibility and willingness to work in U.S. shifts.

Benefits and Perks:
Transportation cab service provided.
Transportation Bonus (if using a personal vehicle)
Attendance bonus
Yearly bonus

📌 Revenue Management Specialist Hyderabad
🏢 Globe Centrix
📍 Hyderabad