Accounts Receivable Caller - US Healthcare (Pune)

R Systems International; Pune District; On-site; INR 495,000 - 605,000; Full time

Job summary

R Systems International in Baner, Pune is seeking an experienced Claims Management specialist for Night Shift. You will follow up on outstanding claims to reduce AR days, handle denials, communicate with insurers and providers, and ensure accurate patient account documentation in our systems.

Responsibilities include AR aging follow-up, HIPAA-compliant interactions, and daily/weekly/monthly reporting to management. Experience 1–4 years preferred; salary up to 5.5 LPA.

Qualifications

• Experience in following up on outstanding claims to reduce AR days.
• Handling claim denials by identifying root cause and resubmitting corrections.
• Effective communication with insurance companies, providers, and stakeholders.
• Maintaining accurate patient account records in company software systems.
• Ensuring compliance with HIPAA and US healthcare regulations.
• Preparing and submitting daily/weekly/monthly reports on claims status and collections.

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.

Skills

Denial management

Communication

AR follow-up

Documentation

Compliance

Reporting

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.

5 Days working with both side cab (Depend on Hiring Zone)

Shift timing: Night Shift

Office Location: Baner (Pune)

Experience between 1 to 4 years only.

Salary up to:5.5 LPA

With Regards

R systems International