01Key Responsibilities
As a Senior Associate in Claims Management, you will be responsible for end-to-end management of US healthcare claims and accounts receivable, serving physician practices and healthcare providers. You will play a critical role in ensuring timely reimbursement, minimizing denials, and maintaining excellent relationships with payers and patients.
Call US-based insurance companies on behalf of our clients (physicians and healthcare providers) to follow up on outstanding accounts receivable.
- Review and prioritize pending claims from the aging report for follow-up.
- Negotiate and secure payment from payers on outstanding and underpaid claims.
- Verify the accuracy and completeness of patient insurance information; resolve any unclear or inadequate details.
- Review provider claims denied or not paid by insurance companies, identify root causes, and take corrective actions.
- Escalate complex or high-risk collection issues to management in a timely and structured manner.
- Handle patient billing inquiries professionally and update patient account information as required.
- Maintain detailed and accurate documentation of all interactions and actions taken on claims.
Ideal Candidate Profile:
- Minimum 3 years of experience in US Healthcare RCM, specifically in Claims Management, Accounts Receivable, and Denials management.
- Graduate degree is mandatory.
- Willing and able to work in night shift (US time zones).
- Excellent sp .
