US Healthcare AR Specialist

2 weeks ago

Noida, Uttar Pradesh, India beBeeHealthcareReceivable Full time ₹ 10,05,000 - ₹ 20,10,000
Accounts Receivable Specialist Role

We are seeking a motivated and detail-oriented Accounts Receivable (AR) Specialist with experience in the US healthcare AR process within a BPO or outsourcing setup. The ideal candidate should be confident in handling denials and unpaid claims, communicating with payors to resolve issues, and driving resolution for timely reimbursements.

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 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:
  • Degree in any field
  • 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

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