Job Description

Overview: We are seeking an experienced and detail-oriented Accounts Receivable Associate (AR Caller) to join our dynamic team. The successful candidate will be responsible for handling and resolving claims, managing account receivables, and ensuring prompt collections in line with US healthcare policies and regulations. Responsibilities: Claims Management : Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management : Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication : Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies. Account Follow-up : Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up. Documentation : Maintain accurate records of communications, actions taken, and status updates on patient accounts using company software systems. Compliance : Ensure adherence to HIPAA guidelines and US healthcare regulations during all interactions and processes. Reporting : Prepare and submit daily/weekly/monthly reports to management on claims status, denials, and collections achieved. Requirements: - Proven experience (2-5 Years) working in accounts receivable within the US healthcare industry. - Knowledge of insurance claim submission and reimbursement processes (Medicare, Medicaid, commercial insurance). - Experience with electronic medical records (EMR) and billing systems (e.g., Epic, Cerner, Meditech). - Excellent analytical and problem-solving skills. - Ability to prioritize and manage multiple tasks in a fast-paced environment. - Proficient in Microsoft Office Suite (Excel, Word, Outlook). - Strong interpersonal and communication skills, both verbal and written. **Benefits:** - Both side Cab Facility. - Professional development and training opportunities. - Collaborative and supportive work environment. Share your resume @ naresh.arya@rsystems.com