Accounts Receivable Specialist

1 day ago

Ahmedabad, Gujarat, India SourceIN Solutions Full time ₹ 2,50,000 - ₹ 7,50,000 per year

Key Responsibilities:

  • Perform
    AR follow-up
    with insurance companies via calls or web portals to check claim status and expedite payment.
  • Handle
    denial management
    by understanding the reason for denials, initiating corrective actions, and coordinating re-submissions.
  • Ensure
    timely and accurate posting
    of payments and adjustments on already paid claims.
  • Maintain detailed documentation of all communication and actions taken on accounts.
  • Work with
    billing and coding teams
    to resolve claim issues and prevent recurring errors.
  • Meet
    daily and monthly targets
    for productivity, collections, and quality.
  • Ensure compliance with
    HIPAA and company data security policies.
  • Communicate effectively for any denial trends, suggestions to billing/coding.

Required Skills & Competencies:

  • Strong understanding of
    US healthcare billing, insurance, and reimbursement processes.
  • Experience with
    EOBs, ERAs, denials, rejections, and claim status follow-ups.
  • Familiarity with
    AdvancedMD Preferred (Optional)
    .
  • Excellent
    verbal and written communication
    skills.
  • Good
    analytical, problem-solving, and time-management
    abilities.
  • Ability to work
    independently and meet deadlines
    in a fast-paced environment.

Qualifications:

  • Bachelor's degree in any discipline (Commerce, Healthcare, or related field preferred).
  • Minimum 3
    –5 years of experience
    in US healthcare AR follow-up / RCM process.
  • Willingness to work in
    night shifts
    (if applicable to US time zone).

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