US Healthcare AR Specialist

1 day ago

Noida, Uttar Pradesh, India beBeeAccountsReceivable Full time US$ 55,000 - US$ 73,000

Job Summary:

We are seeking an experienced and skilled Accounts Receivable Specialist to join our team. As a key member of our revenue cycle management team, you will be responsible for reviewing and analyzing outstanding accounts receivable reports, identifying unpaid claims, and taking proactive steps to resolve these issues.

This role requires strong analytical skills, excellent communication abilities, and a goal-driven mindset. You should be confident in working with payors, resolving denials and underpayments, and driving timely reimbursements.

Key Responsibilities:
  • Review and analyze outstanding accounts receivable reports to identify unpaid claims.
  • Initiate follow-ups with insurance companies 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:
    • Must have B.Com or M.Com degree.
  • 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.

 

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