Job Role : AR Executive

Shift : Night Shift

Review and analyze denied claims, identifying root causes and trends in denials

Research payer-specific denial reasons and ensure accurate coding and documentation practices

Work with internal teams (e.g., billing, coding, and clinical staff) to correct errors and resolve denials

Collaborate with insurance payers to resolve issues and appeal denials when appropriate

Maintain accurate records of denied claims, appeals, and outcomes for tracking purposes

Maintaining a TAT of 48hrs to address the denials that are captured in the denial log

Keep track of the denials that are assigned to the various departments and ensure timely competition

Escalate the denials that are pending (exceeding TAT) with other departments to the GC/TL

Working on Global denials towards resolution and notifying the Lead, Managers on the same via email or other channels for effective tracking and implementing preventive measures

Minimizing Denial Aging by prioritizing older claims and working them towards resolutions with minimum actions / steps

Reaching out to insurance via call if required to find a solution or update





Participate in team meetings and voice out the issues / updates in their respective projects for quicker resolution and disseminating the ideas with the team

Collaborating with team members to share the recent trends, ideas, workflow update, practice updates, thereby fostering a healthy work setting

Maintain 100 % quality on a daily basis

Collaborate with the QCA and complete the reworks, if any, in a timely fashion

Incorporate feedback from the Quality team into your daily practice to ensure you do not repeat previously identified mistakes

Adhere to company policies, insurance payer guidelines, and industry regulations when resolving denials and handling sensitive information

Maintain confidentiality of all patient and claim data in compliance with HIPAA and other regulatory standards

Required Skills

appeals denial aging denial

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 AR Executive (Thanjavur)
🏢 Hamly Business Solutions India Private
📍 Thanjavur