AR Follow-up - RCM (US Healthcare)

Neolytix; Gurugram District; Presencial; INR 600.000 - 1.100.000; Jornada completa

Descripción de la vacante

Neolytix in Gurugram (Onsite) is hiring for Associate / Sr Associate – AR (RCM) in US healthcare. You will handle payer follow-up, claim-status resolution, and denials management for US provider accounts.

The role requires 1+ year (Associate) or 3–4 years (Sr Associate) of US healthcare AR experience, strong written and spoken English, and comfort with HIPAA and EHR platforms like Epic, AdvancedMD, or AthenaHealth.

Formación

• Bachelor’s degree is mandatory.
• Excellent spoken English with a clear, neutral accent and confident US payer-call handling.
• Night shift to US hours; onsite in Gurugram.
• Experience with billing/EHR platforms and MS Office.

Responsabilidades

• Own payer follow-up and claim-status resolution on assigned buckets.
• Handle complex denials and appeals; draft appeal letters and track TAT.
• Support quality by spot-checking documentation and coaching new associates.
• Ensure HIPAA-compliant handling of PHI.

Conocimientos

US healthcare AR calling

Denials & appeals

Revenue cycle knowledge

EHR / PM platforms knowledge

Educación

Bachelor's degree

Herramientas

Epic

AdvancedMD

AthenaHealth

Descripción del empleo

Neolytix – Associate / Sr Associate – AR (RCM)

Accounts Receivable & Denials · US Healthcare

Job Details

Level: Associate / Sr Associate

Experience: 1+ Yr / 3–4 Yrs

Location: Gurugram (Onsite)

Shift: Night (US Hours)

About the Role

Neolytix is a US-headquartered healthcare MSO serving 270+ provider organizations. Our AR team works US insurance receivables end-to-end — following up with payers, resolving denials, and driving collections for physician groups and specialty practices.

Associates own payer follow-up and claim-status resolution on assigned buckets. Senior Associates handle complex denials, appeals, and aged AR, and act as first-line quality support for the pod.

Key Responsibilities

Core (Associate & Sr Associate)

• Work assigned AR buckets — call US payers on claim status, underpayments, and non-payment, and document actions clearly in the billing system.
• Analyze EOBs/ERAs, identify denial reasons (CARC/RARC), and take corrective action — rebill, reprocess, or elevate.
• Meet daily productivity and quality targets (claims worked, resolution rate, call quality).
• Maintain HIPAA-compliant handling of PHI at all times.

Additional (Sr Associate)

• Own complex denials and appeals — draft appeal letters, track appeal TAT, and follow through to overturn.
• Work aged AR (90+/120+) with root‑cause notes that feed prevention, not just recovery.
• Support the TL on quality — spot-check documentation, coach new associates on payer-specific nuances.

Skills & Experience

Must-Have

• Associate: minimum 1 year in US healthcare AR calling (provider side). Sr Associate: 3–4 years with hands-on denials and appeals work.
• Working knowledge of the US revenue cycle — claim lifecycle, EOB/ERA reading, denial codes (CARC/RARC), and timely-filing rules.
• Experience on practice-management / EHR platforms — Epic, AdvancedMD, or Athena Health preferred; similar platforms considered.

Preferred

• Multi-specialty physician-group experience.
• Exposure to both government (Medicare/Medicaid) and commercial payers.

Eligibility Criteria

• Education: Bachelor’s degree (any discipline) is mandatory and must be completed — candidates currently pursuing a degree, or with an incomplete/dropped graduation, are not eligible.
• Communication: Voice-facing role — excellent spoken English with a clear, neutral accent and confident US payer-call handling, plus good written English for accurate documentation.
• Work mode & shift: Onsite at Gurugram, 5 days a week, on a fixed night (US-hours) shift — reliable attendance, punctuality, and roster adherence are essential.
• Systems: Comfortable working in billing/EHR platforms and MS Office; good computer proficiency and clear note-writing.
• Notice period: Immediate joiners or candidates on short notice strongly preferred.

Performance Expectations

• Claims worked per day (productivity target).
• Resolution / collection rate on assigned buckets.
• Call and documentation quality score (from QA audits).
• Aged-AR (90+/120+) reduction and denial-overturn rate (Sr Associate).

Hiring Process

• HR Screening
• 2 Technical Interviews
• Assessment Round
• HR discussion (fitment, shift, salary).

Why Join Neolytix

• US Healthcare Depth – Live US provider accounts across 270+ client organizations — real RCM, not a training bench.
• Clear Growth Path – Associate → Sr Associate → QA / SME / TL → AM: progression tied to performance.
• Multi-Platform Exposure – Hands‑on across Epic, AdvancedMD, AthenaHealth, and more — skills that travel.
• Stable, Growing MSO – A fast-growing US-headquartered organization with centres in Chicago, Gurugram, and Manila.