Senior Process Associate

22 hours ago


Chennai, Tamil Nadu, India Nsight Solutions Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Key Responsibilities:

  • Handle US Healthcare Physicians / Hospitals Accounts Receivable (AR) process.
  • Work closely with the Team Leader to achieve process goals.
  • Ensure deliverables meet client's quality standards and timelines.
  • Manage Denials, Rejections, LOAs, and Corrections to claims as per guidelines.
  • Perform denial management by analyzing claims, calling insurance carriers, and documenting actions in billing summary notes.
  • Review emails and client updates regularly to stay aligned with process requirements.
  • Escalate unresolved issues promptly to the supervisor.
  • Update production logs and maintain accurate reporting.
  • Maintain strict adherence to company policies, compliance, and confidentiality standards.

Requirements:

  • Strong understanding of Healthcare RCM (Revenue Cycle Management) and US Healthcare concepts.
  • 1–4 years of hands-on experience in AR Calling / Denial Management.
  • Proficiency in interacting with insurance companies for claims follow-up.
  • Excellent knowledge of denial management and AR follow-up processes.
  • Ability to achieve daily / monthly collection targets.
  • Strong communication and analytical skills with attention to detail.
  • Ability to prepare and maintain status and productivity reports.
  • Candidates with long career gaps will not be considered.


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