AR Caller | US Healthcare

R Systems International; Dadri; Vor Ort; INR 320.000 - 520.000; Vollzeit

Zusammenfassung

R Systems International in Uttar Pradesh seeks an experienced Accounts Receivable Associate to manage and resolve claims, follow up on outstanding AR, and ensure timely collections in line with US healthcare policies and HIPAA guidelines.

The role involves denial investigation, effective communication with insurers and providers, maintaining accurate documentation, and preparing daily to monthly performance reports, with a focus on accuracy and compliance.

Qualifikationen

• Experience in accounts receivable or healthcare claims handling.
• Understanding of US healthcare policies and HIPAA guidelines.
• Detail-oriented with strong follow-up and data-entry skills.
• Good communication with insurers, providers, and internal teams.

Aufgaben

• Follow up on outstanding claims to reduce AR days and resolve issues.
• Investigate denials, correct errors, and resubmit claims.
• Communicate status, denials, appeals, and discrepancies with stakeholders.
• Monitor AR aging and prioritize unpaid claims for action.
• Maintain accurate records of communications and status updates.
• Prepare and submit daily, weekly, and monthly claims reports.

Kenntnisse

AR processing

Claims follow-up

Denial management

Communication

Documentation

HIPAA compliance

Jobbeschreibung

Accounts Receivable Associate (AR Caller)

Job Description

We are seeking an experienced and detail-oriented Accounts Receivable Associate to join our dynamic team. The successful candidate will be responsible for managing and resolving claims, handling account receivables, and ensuring timely collections in compliance with US healthcare policies and regulations.

Key Responsibilities

• Claims Management: Follow up on outstanding claims to reduce AR days and resolve claim issues promptly.
• Denial Management: Investigate denials, identify root causes, correct errors, and re-submit claims for processing.
• Communication: Liaise effectively with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies.
• Account Follow-up: Monitor AR aging reports to identify and prioritize unpaid claims for follow-up.
• Documentation: Maintain accurate records of communications, actions taken, and status updates 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, and monthly reports on claims status, denials, and collections achieved.

Roles & Responsibilities

• Handle and resolve claims efficiently.
• Manage account receivables and ensure prompt collections.
• Work in alignment with US healthcare policies and compliance standards.

Work Details

• Work Schedule: 5 days working
• Transportation: Both-side cab facility provided

Please note Max experience we are considering for this role is 4 years.