JOB DESCRIPTION

Job Title: Senior AR/ AR Executive Reporting to: Billing Manager

Department: RCM Job Location: Hyderabad

We are seeking a dynamic professional with excellent experience in the USA Healthcare Account

Receivables process.

ROLE & RESPONSIBILITIES:

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Perform AR pre-call analysis and take appropriate action by calling the payer or using IVR or web

portal services to resolve the outstanding AR.

Maintain adequate documentation on the Billing software to send necessary documentation to

insurance companies and maintain a clear audit trail for future reference.

Immediately notifying the important Global issues identified to cut down the impact on the high

dollar AR.

Record after-call actions and perform post call analysis for the claim follow-up.

Perform analysis of accounts receivable data and understand the reasons for underpayment, days

in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for

denials / underpayments.

PREFERRED CANDIDATE PROFILE:

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Experience in accounts receivable follow-up / denial management of US healthcare process.

Fluent verbal communication abilities.

Should possess excellent Denials management and A/R Knowledge.

Willingness to work continuously in night shifts.

Prior experience of working in a medical billing company and use of medical billing software will be

considered an advantage. We will provide training on the medical billing software as part of the

training.

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Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus.

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Qualification: Any Graduation

Total Exp: 1 – 3 Years