mt - rcm

Job Description

Inviting applications for the role of Management Trainee, Accounts Receivable (AR) Specialist - RCM (Revenue Cycle Management)

We are looking for a proactive and passionate Accounts Receivable (AR) Specialist with some years of hands-on experience in the US healthcare AR process within a healthcare BPO or outsourcing setup. The ideal candidate should be confident in working denials and unpaid claims, speaking with payors to resolve issues, and driving resolution for timely reimbursements. This role demands strong analytical skills, clear communication, and a goal-driven mindset.

Responsibilities

- Review and analyze outstanding Accounts Receivable reports to identify unpaid claims.

- Initiate follow-ups with insurance companies (via phone calls and portals) to check claim status and resolve denials or underpayments.

- Document all actions taken on claims accurately in the client's billing system.

- Understand and interpret EOBs, remittance advices, and payer correspondences.

- Work on claim re-submissions, appeals, and corrective actions as needed.

- Meet or exceed daily/weekly productivity and quality targets.

- Stay current with payer policies, coding guidelines, and RCM best practices.

Qualifications we seek in you

Minimum Qualifications / Skills

- Any Graduate

Preferred Qualifications/ Skills

- Experience in US healthcare Accounts Receivable/AR follow-up.

- Prior experience with a US healthcare outsourcing company or BPO is mandatory.

- Strong knowledge of insurance denials, appeals, CPT/ICD codes, and healthcare billing concepts.

- Excellent verbal and written communication skills must be comfortable speaking directly with payors.

- Strong analytical, investigative, and problem-solving abilities.

- Proficient in using billing software, payer portals, and productivity tracking tools.

- Passionate about healthcare revenue operations and delivering results.

- Growth-oriented with a continuous improvement mindset.

- Dependable team player with the ability to work independently when needed.

- Prior experience with billing platforms like Athena, Kareo, or AdvancedMD is a plus.

- Work Environment

- Operate within a structured framework but is you are expected to be proactive and analytically independent in your own area of responsibility

Employment Type: Full-Time

Shift: [US Shift/Night Shift EST/EDT hours]

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