AR Executive – RCM Process

Soma Rcm; Ahmedabad District; In loco; INR 301.000 - 502.000; Tempo pieno

Vantaggi offerti da questo lavoro

Attendance bonus

Descrizione del lavoro

Soma Rcm in Ahmedabad invites an Accounts Receivable Specialist with U.S. healthcare billing experience to join our night shift operations at Bopal-Ambli Road.

You will handle claim submissions, follow-ups, denials, and posting payments, ensuring accurate AR aging and timely cash flow while adhering to HIPAA.

Requires 2+ years in US AR, knowledge of Epic or similar billing software preferred; salary up to 45k plus 3k attendance bonus; shift 7:30 PM–4:30 AM.

Competenze

• Minimum 2-3 years of experience in U.S. healthcare accounts receivable (AR).
• Experience with HIPAA and healthcare compliance.
• Proficient in medical billing software and clearinghouses.

Mansioni

• Re-submit claims electronically or manually to insurance carriers (Medicare, Medicaid, Commercial, etc.).
• Conduct insurance follow-up on unpaid or denied claims through phone calls and online portals.
• Analyse and resolve claim rejections, denials, and underpayments.
• Post insurance and patient payments in the billing system (ERA, EOB, patient payments).
• Maintain ageing reports and ensure AR is within target levels.
• Document all activities in the billing system with notes and next actions.
• Communicate with payers, patients, and internal departments to resolve billing issues.
• Stay updated with payer guidelines and healthcare regulations (HIPAA, CMS).
• Assist in month-end reconciliation and reporting as required.

Conoscenze

US AR experience

HIPAA compliance

Communication skills

Detail-oriented

Analytical skills

AR software know-how

Formazione

High school diploma or equivalent

Associate degree or higher (preferred)

Strumenti

Epic

Athenahealth

Clearinghouses

Descrizione del lavoro

Open Position:

5 for Hospital billing and 1 for physician billing

Experience Required:

Minimum 2-3 Years

Location:

Bopal-Ambli Road, Ahmedabad

Salary :

upto 45k (depend upon Interview) + 3k attendance bonus

Shift Timings :

7:30 PM to 4:30 AM

Job Summary:

We are seeking a skilled Accounts Receivable Specialist (Preferred inpatient/ Hospital AR Experience) with experience in U.S. healthcare billing and collections. The ideal candidate will manage the entire Accounts Receivable process, including claim submission, correction, appeals submission, denial management, and follow-up with insurance carriers and patients. Your work will directly impact our revenue cycle efficiency and cash flow.

Key Responsibilities:

• Re-submit claims electronically or manually to insurance carriers (Medicare, Medicaid, Commercial, etc.).
• Conduct insurance follow-up on unpaid or denied claims through phone calls and online portals.
• Analyse and resolve claim rejections, denials, and underpayments.
• Accurately post insurance and patient payments in the billing system (ERA, EOB, patient payments).
• Maintain ageing reports and ensure AR is within target levels.
• Document all activities in the billing system with clear notes and next actions.
• Communicate with payers, patients, and internal departments to resolve billing issues.
• Stay updated with payer guidelines and healthcare regulations (HIPAA, CMS).
• Assist in month-end reconciliation and reporting as required.

Requirements:

• A high school diploma or equivalent is required. An associate degree or higher in healthcare administration, finance, or a related field is preferred.
• At least two years of experience in U.S. healthcare accounts receivable (AR) is essential.
• A strong understanding of various healthcare insurance types, including Medicare, Medicaid, PPO, HMO, and Workers’ Compensation, is crucial.
• Must have experience with medical billing software, such as Epic, is highly desirable.
  (Athenahealth, eClinicalWorks, Kareo, and AdvancedMD ) this software will be optional.
• Proficiency in using clearinghouses and insurance portals for claim tracking and appeals is essential.
• Excellent written and verbal communication skills are a must.
• Detail-oriented with strong analytical and problem-solving abilities are preferred.
• A solid understanding of HIPAA and healthcare compliance regulations is essential.

Preferred Qualifications:

• Experience in accounts receivable is highly preferred.
• Familiarity with Current Procedural Terminology (CPT), International Classification of Diseases, Ninth Revision (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) coding is a plus.
• Knowledge of payer-specific guidelines and accounts receivable best practices is highly valued.
• The ability to work independently is highly desirable.