Healthcare Accounts Receivable Specialist

2 weeks ago

Hyderabad, India Doctus Data Services Private Limited Full time

Job Title: Healthcare AR Specialist

Industry: US Healthcare

Employment Type: Full-Time | Night Shift (US Time Zone)

Location: Office-Based | Immediate Joiners Preferred

Join a leading US healthcare revenue cycle team. We're hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools.


Key Responsibilities:

· Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva.

· Investigate denials, correct errors, and prepare appeals with supporting documentation.

· Engage with US payers and patients to resolve payment issues and clarify balances.

· Analyze AR aging to prioritize collections and reduce outstanding receivables.

· Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules.

· Collaborate across coding, billing, and revenue cycle teams to streamline workflows.

· Generate reports and KPIs to monitor performance and identify denial trends.

Required Qualifications:

· 3+ years of experience in US medical AR, denial resolution, or insurance follow-up.

· Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena and Artiva.

· Strong knowledge of CPT, ICD-10, HCPCS codes and AR workflows.

· Excellent communication, analytical, and time management skills.

Preferred:

· Bachelor's degree in life sciences, healthcare, finance, or related field.

· Certifications: CMRS, CRCR, or equivalent.

· Experience handling Medicare, Medicaid, and commercial payers.

Why Join Us: Be a part of a high-performance team transforming healthcare revenue cycles.

· Work with industry-leading tools and processes.

· Exposure to advanced US RCM operations.

· Ongoing training and career progression opportunities.

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