Accounts Receivable Executive

Purview Services; Jaipur; On-site; INR 350,000 - 550,000; Full time

Job summary

Purview Services is seeking an experienced AR Caller to handle insurance follow-ups, resolve claim issues and ensure timely reimbursement from US insurance providers. The candidate should have strong English communication skills and US RCM knowledge to work in a fast-paced environment.

Key responsibilities include following up on pending/denied claims, reviewing status, resolving denials, updating billing notes, coordinating with billing and coding teams, and ensuring HIPAA compliance while

Qualifications

• 16 years of experience in AR Calling / RCM (US Healthcare).
• Strong understanding of US insurance providers and denial management.
• Excellent English communication (verbal & written).
• Ability to work night shifts (US shift).
• Experience with medical billing tools/software (Athena, Kareo, AdvancedMD, NextGen, etc.) is an advantage.

Responsibilities

• Make outbound calls to US insurance companies to follow up on pending, denied, or unpaid medical claims.
• Review claim status (paid/denied/pending) and take corrective action accordingly.
• Identify, analyze, and resolve claim denials (coding issues, eligibility, prior authorization, etc.).
• Update claim information with accurate call notes in the billing system.
• Coordinate with the billing, coding, and payment posting teams to resolve discrepancies.
• Handle aging buckets (30/60/90/120+ days) and ensure maximum recovery.
• Understand EOB/ERA and insurance guidelines for various payers.
• Ensure compliance with HIPAA and company standards.
• Meet daily/weekly productivity and quality targets.

Skills

AR Calling / RCM (US Healthcare)

US insurance denial management

English communication

Night shift

Billing tools (Athena)

Tools

Athena

Kareo

AdvancedMD

NextGen

Job description

Role & responsibilities:

We are looking for an experienced AR Caller to handle insurance follow-ups, resolve claim issues, and ensure timely reimbursement from US insurance providers. The ideal candidate should have strong communication skills, US RCM knowledge, and the ability to work in a fast-paced environment.

Key Responsibilities

• Make outbound calls to US insurance companies to follow up on pending, denied, or unpaid medical claims.
• Review claim status (paid/denied/pending) and take corrective action accordingly.
• Identify, analyze, and resolve claim denials (coding issues, eligibility, prior authorization, etc.).
• Update claim information with accurate call notes in the billing system.
• Coordinate with the billing, coding, and payment posting teams to resolve discrepancies.
• Handle aging buckets (30/60/90/120+ days) and ensure maximum recovery.
• Understand EOB/ERA and insurance guidelines for various payers.
• Ensure compliance with HIPAA and company standards.
• Meet daily/weekly productivity and quality targets.

Required Skills & Qualifications

• 16 years of experience in AR Calling / RCM (US Healthcare).
• Strong understanding of US insurance providers and denial management.
• Excellent English communication (verbal & written).
• Ability to work night shifts (US shift).
• Good analytical and problem-solving skills.
• Experience with medical billing tools/software (Athena, Kareo, AdvancedMD, NextGen, etc.) is an advantage.
  the day-to-day responsibilities for this role.