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Accounts Receivable Specialist - RCM

Accounts Receivable Specialist - RCM

SourceIN SolutionsRajkot, Gujarat, India
3 days ago
Job description

Key Responsibilities :

  • Perform AR follow-up with insurance companies via calls or web portals to check claim status and expedite payment.
  • Handle denial management by understanding the reason for denials, initiating corrective actions, and coordinating re-submissions.
  • Ensure timely and accurate posting of payments and adjustments on already paid claims.
  • Maintain detailed documentation of all communication and actions taken on accounts.
  • Work with billing and coding teams to resolve claim issues and prevent recurring errors.
  • Meet daily and monthly targets for productivity, collections, and quality.
  • Ensure compliance with HIPAA and company data security policies.
  • Communicate effectively for any denial trends, suggestions to billing / coding.

Required Skills & Competencies :

  • Strong understanding of US healthcare billing, insurance, and reimbursement processes.
  • Experience with EOBs, ERAs, denials, rejections, and claim status follow-ups.
  • Familiarity with AdvancedMD Preferred (Optional).
  • Excellent verbal and written communication skills.
  • Good analytical, problem-solving, and time-management abilities.
  • Ability to work independently and meet deadlines in a fast-paced environment.
  • Qualifications :

  • Bachelor’s degree in any discipline (Commerce, Healthcare, or related field preferred).
  • Minimum 3–5 years of experience in US healthcare AR follow-up / RCM process.
  • Willingness to work in night shifts (if applicable to US time zone).
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    Account Specialist • Rajkot, Gujarat, India

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