About the Role
We are seeking skilled AR Follow-up and Denial Management Executives with hands-on experience in U.S. Healthcare RCM. The ideal candidate will be responsible for analyzing denied claims, following up with insurance companies, resolving payment issues, and ensuring timely reimbursement.
Key Responsibilities
- Perform AR follow-up with insurance carriers to resolve unpaid or underpaid claims.
- Handle denial management by identifying root causes, correcting claim issues, and ensuring reprocessing.
- Review and analyze claim denials (technical, clinical, and administrative).
- Document all actions taken on claims within the system accurately and promptly.
- Communicate efficiently with payers to obtain claim status and required clarifications.
- Work closely with internal billing / coding teams to prevent recurring denials.
- Meet daily / weekly productivity and quality benchmarks.
Required Skills & Qualifications
1–3 years of experience specifically in Denial Management and AR Follow-up within the U.S. healthcare RCM domain.Strong understanding of denial codes, EOBs, and insurance guidelines.Good communication skills (verbal and written).Ability to analyze issues and resolve claims efficiently.Proficiency in RCM tools, billing software, and MS Office (preferred).Exclusions
Candidates from general AR or accounting backgrounds are not eligible (e.g., O2C / OTC profiles from Genpact or similar companies).Only candidates with specific RCM-denial and AR follow-up experience should apply.Why Join Us
Opportunity to work with a growing RCM team.Skill development in core denial management and AR processes.Collaborative work environment with performance-based growthSkills Required
Denial Management, AR Follow Up, Us Healthcare, Revenue Cycle Management