Senior Ar Caller

Job Title: AR Analyst

Location: Noida

Employment Type: Full-Time

Company Overview: Jindal Healthcare

Who we are and what we do?

At Jindal Healthcare, we are a proud member of the renowned OP Jindal Group, we are traditionally

known for our leadership in steel manufacturing and heavy industrial work. However, in recent years,

weve shifted our focus to providing innovative technology and outsourcing services within the

healthcare sector.

Our parent company, Jindal X, a subsidiary of Jindal Sawone of the groups major entitieswas

founded over 25 years ago. In the past 7-8 years, we've pivoted into providing Revenue Cycle

Management (RCM) services and solutions in the U.S., targeting physician groups, regional hospitals,

rural hospitals, and small to mid-sized healthcare providers.

What sets us apart in the marketplace is two-fold. First, weve developed a proprietary tool, HealthX,

that enhances the visibility of the revenue cycle process, allowing us to deliver more efficient and

insightful solutions compared to other players in the industry. Secondly, we differentiate ourselves by

prioritizing output metrics more than traditional outsourcing firms, ensuring better value within

competitive price points. Rather than simply focusing on volume (number of claims worked) and audit

scores, we integrate a consulting layer into our service offering. This allows us to directly contribute to

improving our clients' overall revenue while simultaneously reducing their cost to collect.

We launched this division about eight years ago with a joint venture to learn the ins and outs of the

revenue cycle. For the past 4-5 years, weve independently operated and grown the business, building

an onshore presence for sales, marketing, and client services. Our goal is to continue our exponential

growth, with plans to double in size every year over the next 3-4 years.

Roles and Responsibilities-

Technical Skills:

1. Medical Billing Systems:

Familiarity with popular billing software such as Epic, Cerner, Meditech, NextGen,

ClinicalWorks, Modmed, or PHIMed.

Experience with HCFA-1500 forms, UB-04 forms, and other insurance-specific claim forms.

2. Domain Knowledge:

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Handle medical billing processes for various insurance types, including Medicare, Medicaid,

HMO, commercial insurance, and Workers' Compensation.

Experience in denials management, including identifying denial reasons, appeals process, and

follow-up to resolve denials promptly.

Strong understanding of insurance types, including Medicare, Medicaid, HMO, commercial

insurance, and Workers' Compensation.

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Proficiency in CPT, ICD-10, and Modifiers to assign correct codes and ensure compliance with

coding standards.

Demonstrate a basic understanding of revenue cycle management to optimize billing

procedures and revenue generation.

Manage denials effectively by identifying reasons for denials, initiating appeals, and following

up to ensure resolution and minimize revenue loss.

3. Claim Submission & Denial Management:

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Proficient in claim submission through EDI (Electronic Data Interchange) or other methods.

Experience managing claim denials and rejections, appealing denied claims, and identifying

the reason behind denials.

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Ability to correct errors in coding or documentation to ensure proper reimbursement.

4. Compliance & Regulations:

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Deep understanding of HIPAA regulations to ensure patient confidentiality and compliance.

Awareness of insurance payer guidelines, federal/state regulations, and any updates to

medical billing practices.

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Knowledge of Medicare/Medicaid billing guidelines and commercial payer contracts.

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Soft Skills:

1. Analytical Thinking & Problem Solving:

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Strong ability to analyze AR aging reports and identify patterns in denied claims or

underpayments.

Ability to develop solutions for recurring issues by investigating root causes and collaborating

with cross-functional teams.

2. Attention to Detail:

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Precision in reviewing and processing claims to ensure all necessary information is provided,

reducing the likelihood of rejections.

Ability to identify discrepancies or errors in claims data and take corrective actions quickly.

3. Communication Skills:

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Strong verbal and written communication skills to interact with insurance companies,

healthcare providers, and patients.

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Ability to explain billing and claims issues clearly to patients or healthcare providers.

Good interpersonal skills to maintain effective working relationships with external parties

(e.g., payers, customers) and internal teams.

4. Time Management & Organization:

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Ability to handle multiple claims, follow up on overdue payments, and prioritize urgent issues

in a busy environment.

Managing deadlines for claims follow-ups and appeals while maintaining accurate

documentation.

Additional Skills:

1. Patient Billing & Collection:

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Experience handling patient billing inquiries, payment arrangements, and explaining charges

to patients.

Knowledge of patient statements, explanation of benefits (EOBs), and processing patient

payments.

2. Knowledge of Reimbursement Rates:

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Understanding of contractual agreements with insurance companies and the ability to apply

the correct reimbursement rates.

3. Critical Thinking:

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Ability to assess complex billing scenarios and come up with effective solutions (e.g., multiple

payers, complex claim issues, etc.).

4. Adaptability:

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Ability to stay updated on changes in coding standards, payer policies, and government

regulations.

Flexible in adjusting to evolving requirements in medical billing processes and payer

requirements.

Working knowledge of HIPAA and healthcare compliance.

5. Team Collaboration:

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Ability to work as part of a team, particularly with coding specialists, providers, and other

departments, to ensure claims are processed correctly.

Additional Software/Tools Knowledge:

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Microsoft Excel for data analysis and reporting.

AR Aging Reports and understanding their components (e.g., Current, Days, etc.).

Revenue Cycle Management (RCM) tools for tracking claim status and financial performance.

Key Performance Indicators (KPIs) for AR Analysts in Medical Billing:

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Days Sales Outstanding (DSO) Time taken to collect payment after a service is provided.

Claim Denial Rate Percentage of claims rejected or denied.

First Pass Resolution Rate Percentage of claims processed without needing corrections.

Collections Percentage Total collections compared to expected collections.