Accounts Receivable Caller - US HealthCare (Noida)

R Systems International Limited; Dadri; On-site; INR 437,000 - 523,000; Full time

Benefits offered by this job

CAB facility

5-day workweek

Job summary

R systems International with an office in Greater Noida West is seeking professionals for claims processing and AR follow-up in a HIPAA-compliant environment. The role focuses on claims management, denial handling, and timely communications with insurers and providers, with regular reporting on outcomes.

Ideal candidates will have experience in healthcare claims, be ready for an immediate join, and work with cab facilities where applicable. Salary is quoted as up to 43k CTC with a 5-day workweek.

Qualifications

• Claims management experience with AR/AP processes.
• Denial management including root-cause analysis and corrective actions.
• Strong communication with insurers, providers, and stakeholders.
• Account follow-up and prioritization of unpaid claims.
• Accurate documentation of communications and actions in systems.
• Compliance with HIPAA and US healthcare regulations.

Responsibilities

• Follow up on outstanding claims to reduce AR days and resolve issues.
• Handle denials by identifying root causes and resubmitting corrections.
• Communicate with insurers, providers, and stakeholders regarding status and discrepancies.
• Monitor AR aging to identify unpaid claims and prioritize follow-up.
• Maintain accurate records of communications and actions in company systems.
• Prepare and submit daily/weekly/monthly reports on claims status and collections.

Job description

Role & 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.

Preferred candidate profile:

Looking for Immediate Joiner

5 Days working with Both Side Cab (Depend on Hiring zone)

Salary up to: 43k CTC

Office Location: Greater Noida west

With regards

R systems International