Accounts Receivable Specialist - RCM

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).