sme/gc

11 hours ago

Hyderabad, Telangana, India Elico Healthcare Services Full time ₹ 5,00,000 - ₹ 15,00,000 per year

JOB PURPOSE

The SME provides deep expertise in medical billing, insurance follow-ups, and claim resolutions, ensuring efficient cash flow and reducing outstanding AR days. They serve as a key resource for process improvements, training, and escalations related to claim denials, appeals, and payment discrepancies.

REQUIREMENTS

Education

Any Graduate

Experience

5+ years

Specialties (If Any)

Prior experience in Emergency Medical Services (EMS) will be add on advantage

Certifications (If Any)

Essential Skills / Aptitude:

Strong knowledge of US healthcare AR, insurance billing, and payer guidelines.

Excellent analytical, problem-solving, and communication skills.

Experience in working with aging reports, denials, and appeals processing.

KEY RESPONSIBILITIES

  • Monitor and manage the AR process, including claim submissions, follow-ups, and appeals.
  • Ensure timely follow-up on unpaid claims, denials, and appeals with insurance companies.
  • Analyze aging reports and take necessary actions to reduce outstanding receivables.
  • Analyze and categorize denials to identify trends and root causes.
  • Work with clients and insurance providers to resolve recurring denial issues.
  • Act as a point of contact for clients, insurance providers, and internal stakeholders.
  • Provide regular reports on AR performance, collections, and outstanding receivables.

KEY MEASURABLES

  • AR Aging Reduction
  • Denial Resolution Rate
  • Escalation Resolution Rate

Send your resume to

/ Whats app

Address : Elico healthcare services C-56,

Apie, Indl Estate, Near Bharath Nagar Mmts

Railway Station, Sanath Nagar Railway Station, Sanath Nagar-500018

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