Department: Medical Billing / Revenue Cycle Management (RCM)
Experience: 1–3 Years (Flexible)
Employment Type: Full-Time
Key Responsibilities
- Follow up with insurance companies on outstanding and unpaid medical claims.
- Analyze AR aging reports and prioritize claims based on aging and outstanding balances.
- Contact insurance companies through calls and online portals to check claim status.
- Identify reasons for claim denials, rejections, and underpayments.
- Work on denied claims and initiate appeals or reconsiderations wherever applicable.
- Review EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice).
- Identify and resolve issues related to eligibility, authorization, coding, and billing.
- Maintain accurate documentation of all follow-up activities.
- Meet daily productivity and quality targets.
- Ensure timely resolution of outstanding accounts and maximize collections.
Required Skills & Qualifications
- Knowledge of US healthcare medical billing and RCM.
- Understanding of AR follow-up and denial management.
- Familiarity with insurance portals and payer processes.
- Basic understanding of CPT, ICD-10, and HCPCS codes.
- Knowledge of EOB, ERA, and claim lifecycle.
- Good communication and analytical skills.
- Basic computer knowledge, including MS Excel.
- Ability to work independently and meet deadlines.
Preferred Experience
- 1–3 years of experience in US healthcare AR follow-up.
- Experience working with US insurance companies.
- Knowledge of Medicare, Medicaid, and commercial insurance.
- Experience with medical billing software and practice management systems.
Key Performance Indicators (KPIs)
- Daily productivity.
- Quality and accuracy.
- AR follow-up turnaround time.
- Collection rate.
- Denial resolution rate.
- Reduction in AR days.
- Achievement of monthly targets.
Work Requirements
- Full-time position.
- Willingness to work in US night shifts.
- Solid focus on productivity, quality, and timely claim resolution.
Pay: ₹30,000.00 - ₹35,000.00 per month
Benefits
- Provident Fund
Work Location: In person
📌 AR Executive (Sahibzada Ajit Singh Nagar)
🏢 3DS Global
📍 Sahibzada Ajit Singh Nagar
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