Accounts Receivable (AR) Specialist

IntelligentDX Pvt. Ltd.; Pune District; On-site; INR 600,000 - 900,000; Full time

Job summary

IntelligentDX Pvt. Ltd. in India seeks an Accounts Receivable Specialist to manage end-to-end medical claims follow-up and collections, ensuring timely reimbursement by resolving unpaid or denied claims.

The ideal candidate will have 4+ years of hands-on medical AR experience and strong knowledge of payer requirements. You will research and appeal denials, document activity, and collaborate with clinical staff and payers while maintaining HIPAA compliance in a fast-paced environment.

Qualifications

• Minimum 4 years of experience in Accounts Receivable / Medical Billing and Collections.
• Strong operational knowledge of healthcare RCM processes, payer portals, and insurance claim workflows.

Responsibilities

• Identify trends and perform root cause analysis on unpaid and underpaid claims.
• Research, appeal, and resolve claim rejections, denials, and underpayments with appropriate insurance payers.
• Initiate phone or written communication with patients to obtain missing or additional information as required.
• Accurately document all collection and follow-up activity in the system.
• Develop and maintain positive working relationships with clinical staff, internal teams, and payer representatives.
• Maintain professionalism and adhere to company policies in appearance, communication, and conduct.
• Meet deadlines, manage priorities, and keep the supervisor informed about progress and issues.
• Ensure compliance with HIPAA, OSHA, and all applicable State and Federal regulations.

Skills

Attention to detail

Analytical thinking

Communication

Negotiation

Organizational skills

Problem solving

Education

Any Graduate

Tools

MS Office Suite

Job description

Position Summary:

The Accounts Receivable (AR) Specialist is responsible for managing the full cycle of the medical claims follow-up and collections process. This role requires a detail-oriented and analytical professional who ensures timely reimbursement by effectively resolving unpaid or denied claims. The ideal candidate will have at least 4 years of hands-on experience in medical AR, strong knowledge of payer requirements, and proficiency in identifying and resolving claim issues to optimize revenue recovery.

Essential Functions:

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Responsible for all aspects of AR follow-up and collections, including making phone calls, sending correspondence, and accessing payer websites.

• Identify trends and perform root cause analysis on unpaid and underpaid claims.
• Research, appeal, and resolve claim rejections, denials, and underpayments with appropriate insurance payers.
• Initiate phone or written communication with patients to obtain missing or additional information as required.
• Accurately document all collection and follow-up activity in the system.
• Develop and maintain positive working relationships with clinical staff, internal teams, and payer representatives.
• Maintain professionalism and adhere to company policies in appearance, communication, and conduct.
• Meet deadlines, manage priorities, and keep the supervisor informed about progress and issues.
• Ensure compliance with HIPAA, OSHA, and all applicable State and Federal regulations.
• Perform other related duties as assigned by management.

Qualifications:

Required:

• Minimum 4 years of experience in Accounts Receivable / Medical Billing and Collections.
• Strong operational knowledge of healthcare RCM processes, payer portals, and insurance claim workflows.

Preferred:

• Any Graduate
• Proficiency in MS Office Suite (Excel, Word, Outlook).

Certifications (Preferred):

• AHIMA or AAPC Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).

Knowledge, Skills & Abilities:

• Strong understanding of HMO/PPO, Medicare, Medicaid, and other payer guidelines.
• Working knowledge of HCPCS, CPT, and ICD-10 coding.
• Excellent analytical and problem-solving skills with the ability to perform root cause analysis.
• Strong communication and negotiation skills when interacting with payers and patients.
• Highly organized, detail-oriented, and results-driven.
• Ability to work independently and manage multiple priorities in a fast-paced environment.
• Demonstrates integrity, accountability, and professional behavior in all interactions.
• Customer serviceoriented, empathetic, and adaptable.