12 Nov
|
Flexiple
|
Secunderabad
12 Nov
Flexiple
Secunderabad
Hiring for Ensemble Health Partners — via Flexiple, the recruiting partner on this role.
Ensemble Health Partners is one of the largest revenue cycle management companies in the US healthcare industry. It runs end-to-end billing and collections for hospitals and health systems, managing more than $35 billion in net patient revenue, and combines experienced operations teams with AI-enabled tools. Its Hyderabad operations centre works US accounts directly, and this hire joins the team that makes sure providers are paid correctly and on time.
As an Accounts Receivable Specialist, you'll follow up with commercial and government payers to resolve claim issues and secure timely reimbursement for US hospitals and physician groups. You'll dig into denials and payment variances, work out why a claim wasn't paid in full, and take the action that resolves it, including drafting and submitting technical appeals.
Review denied, underpaid and aging claims and pin down the specific reason for each discrepancy or delay.
Call and use portals for commercial payers,
Medicare and Medicaid to follow up on outstanding claims and get them resolved.
Read EOBs/ERAs and apply federal, state and payer-specific rules to decide the right next action on each account.
Document every touchpoint accurately: contact names, reference numbers, call outcomes and next steps.
Meet daily productivity and quality targets.
A bachelor's degree in any discipline.
- 1–3 years of US healthcare AR experience on the provider side: AR follow-up, denials and appeals, medical collections, or hospital/skilled billing.
- You have personally worked denied and underpaid claims with US payers and taken them through to payment or appeal.
- Clear spoken and written English, comfortable on calls with US payer representatives.
- Good analytical skills and working proficiency in MS Excel, Word and PowerPoint.
- Familiarity with CPT/ICD codes, clearinghouses and payer portals.
📌 Accounts Receivable Billing Associate (Secunderabad)
🏢 Flexiple
📍 Secunderabad