Accounts Receivable

Business Unit Resolv was formed in 2022 bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise including Ultimate Billing First Pacific Corporation Innovative Healthcare Systems and Innovative Medical Management Our DNA is rooted in revenue cycle solutions As we continue to expand we remain dedicated to partnering with RCM companies that offer diverse solutions and address today s most pressing healthcare reimbursement and revenue cycle operations complexities Together we improve financial performance and patient experience helping to build sustainable healthcare businesses Job Summary The Accounts Receivable Associate is responsible for managing and following up on outstanding claims ensuring timely collections and resolving payment discrepancies This role plays a crucial part in the revenue cycle process by reducing outstanding accounts receivable improving cash flow and maintaining accurate financial records Work Mode Work from Office Shift Timings 8pm to 5am 9pm to 6am Night Shift Location Mumbai What We Are Looking For Primary Functions Claims Follow-Up Collections Monitor outstanding insurance claims and patient balances Conduct timely follow-ups with insurance providers to ensure claim resolution Investigate and resolve denials underpayments and delays in claim processing Contact patients for outstanding balances set up payment plans and provide billing support Payment Reconciliation Posting Work closely with the payment posting team to ensure correct application of payments and adjustments Reconcile daily AR reports and accounts to track collections and pending claims Identify and escalate billing errors or discrepancies for resolution Denial Management Appeals Analyze denial trends and collaborate with the billing team to correct recurring issues Prepare and submit appeals for denied or underpaid claims with appropriate documentation Maintain records of appeal status and follow up with insurance carriers Reporting Compliance Generate and maintain aging reports AR summaries and collection reports Ensure compliance with HIPAA Medicare Medicaid and private payer policies Document all collection activities and maintain accurate AR records Cross-Functional Collaboration Work with the billing payment posting and coding teams to resolve claim discrepancies Communicate with insurance representatives and internal stakeholders to streamline the AR Mandatory Qualifications Skills Bachelor s degree in Accounting Finance Business Administration or a related field preferred 1 years of experience in accounts receivable medical billing or revenue cycle management Experience with RCM software e g EPIC Athenahealth Cerner eClinicalWorks NextGen Kareo or Meditech What Would Make You Stand Out Preferred Good-to-Have Skills Strong knowledge of insurance reimbursement processes AR management and medical billing Familiarity with CPT ICD-10 and HCPCS codes for claim verification Proficiency in Microsoft Excel financial reconciliation and reporting tools Ability to work independently and manage high-volume AR portfolios Skills Behavioural Skills Problem-Solver Identifies and resolves healthcare billing discrepancies Organized Manages high volumes of medical remittances efficiently Clear Communicator Effectively discusses payment issues with healthcare teams Analytical Understands healthcare financial data and denial patterns Benefits Annual Public Holidays as applicable 30 days total leave per calendar year Mediclaim policy Lifestyle Rewards Program Group Term Life Insurance Gratuity and more