AR Associate

Keka Inc.; Hyderabad; On-site; INR 700,000 - 1,000,000; Full time

Job summary

Keka Inc. Hyderabad-based role focusing on US Healthcare AR and denial management. You will perform follow-ups on unpaid/underpaid/denied claims, reduce aging buckets, and analyze denial codes to decide on appeals, rebills, or adjustments.

Responsibilities include drafting robust appeals, following up on high-value accounts, and ensuring accurate EOB/ERA interpretation. Collaboration with posting, coding, and eligibility teams is essential, with strict adherence to HIPAA and SLA expectations.

Qualifications

• 3–6 years of experience in US Healthcare AR / Denial Management.
• Strong understanding of Medicare, Medicaid, and Commercial insurance.
• Expertise in EOB/ERA interpretation and managed care guidelines.
• Knowledge of Timely Filing Limits (TFL) and appeals process.
• Proficiency in Microsoft Office Suite (Excel preferred).

Responsibilities

• Perform insurance follow-ups on unpaid, underpaid, and denied claims.
• Work on aging buckets (60+/90+/120+ AR) and reduce outstanding balances.
• Analyze denial codes (CO-97, CO-45, CO-18, CO-50, CO-197) and take appropriate action (Appeal / Rebill / Adjustment).
• Draft and submit strong appeals with required documentation.
• Follow up on high-value and escalated accounts.
• Interpret EOBs/ERAs accurately and identify payment discrepancies.
• Ensure timely filing compliance and adherence to payer guidelines.
• Accurately document call notes and account updates in the system.
• Coordinate with Posting, Coding, and Eligibility teams for issue resolution.
• Maintain productivity and quality standards as per SLA.
• Adhere to HIPAA regulations and company policies.
• Stay updated on payer updates and industry regulations.

Skills

US Healthcare AR Denial Management

Medicare Medicaid Commercial insurance

EOB ERA interpretation

Timely Filing Limits (TFL) knowledge

Microsoft Office Excel

Job description

Key Responsibilities:

Perform insurance follow-ups on unpaid, underpaid, and denied claims.

Work on aging buckets (60+/90+/120+ AR) and reduce outstanding balances.

Analyze denial codes (CO-97, CO-45, CO-18, CO-50, CO-197) and take appropriate action (Appeal / Rebill / Adjustment).

Draft and submit strong appeals with required documentation.

Follow up on high-value and escalated accounts.

Interpret EOBs/ERAs accurately and identify payment discrepancies.

Ensure timely filing compliance and adherence to payer guidelines.

Accurately document call notes and account updates in the system.

Coordinate with Posting, Coding, and Eligibility teams for issue resolution.

Maintain productivity and quality standards as per SLA.

Adhere to HIPAA regulations and company policies.

Stay updated on payer updates and industry regulations.

Qualifications:

3–6 years of experience in US Healthcare AR / Denial Management.

Strong understanding of Medicare, Medicaid, and Commercial insurance.

Expertise in EOB/ERA interpretation and managed care guidelines.

Knowledge of Timely Filing Limits (TFL) and appeals process.

Proficiency in Microsoft Office Suite (Excel preferred).

Excellent communication and analytical skills.

Strong attention to detail and ability to handle escalations independently.

Ability to work night shifts and from the office.