01Key Responsibilities
Review and analyze denied or underpaid claims and identify root causes.
Work on AR calling and follow-ups with insurance companies for claim resolution.
Resolve denials by coordinating with internal teams and payers to ensure timely
reimbursement.
Stay updated with current payer policies, guidelines, and changes.
Process and track appeals, re-submissions, and corrected claims.
Ensure accurate payment posting and reconciliation of accounts.
Maintain AR aging reports and take necessary actions to reduce outstanding
balances.
Document all actions taken on claims in the system clearly and accurately.
Collaborate with coding and billing teams to minimize recurring denials.
Required qualifications:
Bachelors degree in any field.
35 years of experience in AR calling, denial management, or RCM operations.
Strong knowledge of end-to-end RCM processes.
Expertise in denial management, AR follow-ups, and payment processing.
Good understanding of US healthcare billing guidelines and payer policies.
Familiarity with ICD-10, CPT, and HCPCS coding standards.
Experience with EHR/EMR systems and billing platforms.
Excellent communication and negotiation skills for payer interactions.
Strong analytical and problem-solving abilities.
Ability to work independently and manage multiple accounts efficiently.
Job Types: Full-time, Permanent
Benefits:
- Health insurance
- Provident Fund
Application Question(s):
- Are you willing to work from Koramangala Bangalore office.
Shift availability:
- Night Shift (Required)
- Overnight Shift (Required)
Work Location: In person .
