01Overview
Job Summary
We are seeking a detail-oriented AR Specialist with experience in U.S. healthcare Revenue Cycle Management to manage insurance accounts receivable, resolve unpaid and denied claims, and maximize reimbursements through timely follow-up with insurance payers.
Key Responsibilities
Perform insurance AR follow-up on outstanding claims.
Investigate and resolve denied, rejected, and underpaid claims.
Submit claim appeals and supporting documentation.
Contact insurance companies to obtain claim status and payment updates.
Analyze EOBs/ERAs and identify payment discrepancies.
Ensure timely resolution of aging accounts.
Meet productivity and quality targets while maintaining accurate documentation.
Comply with HIPAA, CMS, and payer guidelines.
Required Skills
Strong knowledge of Insurance AR follow-up and denial management.
Experience with Medicare, Medicaid, and commercial insurance payers.
Ability to interpret EOBs, ERAs, and payer policies.
Familiarity with EMR/EHR and practice management systems.
Excellent communication, analytical, and problem-solving skills.
Compensation: 25,000.00 - 35,000.00 per month
Benefits:
Work from home
Application Question(s):
Describe your process for troubleshooting recurring claim rejections in simple steps.
How many years of experience do you have working specifically with Denials in medical billing/RCM
Are you thoroughly familiar with the claims appeals process
Which clearing houses have you worked with
What causes this rejection and how do you resolve it: "Claim rejected: Billing Provider Tax ID and NPI mismatch"
Are you located in India
Which billing systems do you have hands-on experience with
What is your expectation for compensation regarding this role
Work Location: Remote .
