We are looking for an AR Executive to manage end-to-end Accounts Receivable activities for our US healthcare Revenue Cycle Management (RCM) services. The role involves claim follow
- up, denial management, claim status verification, and payment resolution for Remote Patient Monitoring (RPM), Chronic Care Management (CCM), Principal Care Management (PCM), and Remote Therapeutic Monitoring (RTM) programs.

Key Responsibilities
• Follow up on insurance claims through Medicare, Availity, commercial payer portals, IVR, and insurance representatives.
• Track claims submitted through Office Ally and maintain claim status
• Investigate unpaid and underpaid claims and ensure timely resolution.
• Analyze and resolve claim denials by submitting corrected claims and appeals.
• Work closely with Billing, Coding, and Operations teams to resolve claim issues.
• Maintain accurate documentation of follow-up actions and claim outcomes.
• Ensure timely reimbursement while meeting daily productivity and quality targets.
• Identify recurring denial trends and recommend process improvements. Required

Skills:




• Good understanding of US Medical Billing and Revenue Cycle Management.
• Experience in Accounts Receivable (AR) follow-up and denial management.
• Knowledge of Medicare and commercial insurance payer processes.
• Familiarity with CMS guidelines, CPT, ICD-10, HCPCS, modifiers, LCD/NCD, and CCI edits.
• Experience using Office Ally, Availity, payer portals, and Microsoft Excel is preferred.
• Excellent communication, analytical, and problem-solving skills. Qualifications
• Bachelor’s degree or equivalent.
• 1–3 years of experience in US Healthcare AR/RCM.
• Experience with RPM, CCM, PCM, or RTM billing is an added advantage.
• Medical Billing/RCM certification is a plus. Why Join us? We are a fast-growing healthcare technology company delivering AI-enabled virtual care solutions to specialty clinics across the United States. Join us to work on innovative healthcare programs, build expertise in US healthcare RCM, and grow your career in a cooperative, technology-driven environment.

📌 Accounts Receivable Specialist (Bengaluru)
🏢 Nexifyr
📍 Bengaluru