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Accounts Receivable Specialist - Rcm
SourceIN SolutionsMangalore, Republic Of India, IN21 hours ago
Job descriptionStrong 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. 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).
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 :
Qualifications :
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Account Specialist • Mangalore, Republic Of India, IN