Senior Associate/Associate Expert/SME

Greetings from Newport Medical Solutions

We are hiring candidate with AR Experience with immediate to 30 days notice period. Eligible candidate can direct Walk in to office on 06th September 2025 i.e., on Saturday.

Contact on:

Nafees

Shivani

1. Job Title: Senior Associate - Account Receivables

Years of Experience: 2-3 years

Shift Timings: Night Shift (7:00 PM to 4:00 AM)

Location: Hyderabad, Telangana

Education Qualification:

Any graduate

Skill Set Requirements:

Excellent Communication Skills and Analytical Skills

Job Description

AR callers with 2-3 Years of RCM Experience (Physician Billing).

• Hands-on knowledge of US healthcare billing, payers, claims processing, and AR denial management.
• Good knowledge and understanding of Provider Information & Patient Information as it impacts claim resolution.
• Ability to analyse complex payment and denial issues with attention to detail.
• Review and analyse assigned claims, checking their status through payer communication, IVR, or web portals.
• Conduct detailed follow-up on unpaid or denied claims, including calling payers and submitting necessary documentation to resolve issues.
• Handle complex denial management by investigating rejection reasons and preparing appeals.
• Proficient in medical billing software including advanced platforms like AdvancedMD, NextGen, Epic, ECW, Greenway, Centricity G4.
• Knowledge of Clearing House Rejections/Denials and its resolution
• Knowledge of Payor Denials and Resolution
• Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals

• Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing

• Job Title:Associate Expert-Account Receivables

Years of Experience: 3 - 4 years

Shift Timings: Night Shift (7:00 PM to 4:00 AM)

Location: Hyderabad, Telangana

Education Qualification:

Any graduate

Skill Set Requirements:

Excellent Communication Skills and Analytical Skills

Experience and Domain Requirements:

AR callers with sound knowledge of 3+ Years RCM Experience (Physician Billing).

• Working knowledge of healthcare billing software and EHR systems. Preferably Epic, ECW, AMD/NG/Greenway/Centricity
• Understanding of Provider Information & Patient Information as it impacts claim resolution.
• Knowledge of Clearing House Rejections/Denials and its resolution
• Investigate denials and underpayments by thoroughly reviewing EOBs.
• Resolve reasons for denial by correcting claim errors and re-submitting appeals as necessary.
• Maintain accurate records and ensure follow-up actions are documented clearly.
• Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals. Prepare appeals for denied and underpaid claims and ensure the collection of unsettled accounts.
• Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing

3. Subject Matter Expert - SME

Job Title:Subject Matter Expert -Account Receivables

Years of Experience: 4+ Years

Shift Timings: Night Shift (7:00 PM to 4:00 AM)

Location: Hyderabad, Telangana

Roles and Responsibilities:

• AR callers with good experience of4+ Years RCM Experience (Physician Billing).
• Knowledge of Federal, Commercial, and WC Payor Requirements
• Understanding provider information and patient information as it impacts claim resolution
• Knowledge of Clearing House rejections or denials and its resolution
• Knowledge of Payor Denials and Resolution
• Knowledge of Appeals Process: Form Types and Documents related to Appeals, Online Appeals
• Coding knowledge: ICD/CPT, E/M codes, Code Series, Modifiers in Physician billing, and its impact
• Good IQ levels understanding the denials and timely resolutions.
• Agents should have high task capabilities to work on Client analytics, High dollar claims, Rejections, Report management and maintaining Team metrics.
• Demonstrate deep knowledge of Accounts Receivable and specialized experience in AR-Denial management.
• Address and resolve complex AR-related issues, acting as the go-to resource for technical and process queries.
• Guide and train AR teams for continuous performance and mentoring.
• Strong analytical, problem-solving, and technical capabilities; excellent communication skills; and strong data analysis competencies.
• Ability to customize training needs to meet the business requirements for specific practices/specialities
• Ability to handle complex denials and strong determination to provide resolution on denials.

Education Qualification:

Any graduate

Eligible candidates can contact on

-Nafees

-Shivani