Executive - AR and Senior Executive - AR

Omega Healthcare; Chennai District; On-site; INR 350,000 - 520,000; Full time

Job summary

Omega Healthcare in Chennai is seeking a detail-oriented Physician Billing AR Executive to manage professional claims end-to-end. You will analyze unpaid and denied claims, follow up with insurers, and ensure timely reimbursement while adhering to payer guidelines.

The role requires 1–5 years in Professional/ Physician Billing AR, solid knowledge of denial management, EOB/ERA interpretation, and proficiency in MS Excel. It is a US-night shift position located in Chennai.

Qualifications

• 1–5 years in Professional Billing AR / Physician Billing AR.
• Experience in handling insurance follow-up and denial management.
• Good understanding of US Healthcare Revenue Cycle Management.

Responsibilities

• Review unpaid, denied, and underpaid professional claims.
• Follow up with payers through calls and portals regarding claim status.
• Investigate denials and take corrective actions for resolution.
• Submit appeals and supporting documentation as required.
• Verify patient eligibility, benefits, and adjudication details.
• Manage denials including common payer-specific codes and trends.
• Identify denial trends and escalate to leadership when needed.
• Ensure HIPAA compliance and adherence to client processes.
• Meet productivity, quality, and turnaround time targets.
• Document follow-up actions in the billing system.
• Collaborate with internal departments to resolve issues.

Skills

RCM Knowledge

Denial Management

Insurance Follow-up

EOB & ERA interpretation

MS Excel

Education

Graduate in any discipline

Tools

Billing Software

Payer Portals

Job description

ob Summary

We are seeking a detail-oriented and result-driven physician Billing AR Executive to manage accounts receivable activities for physician and professional claims. The candidate will be responsible for analyzing unpaid claims, resolving denials, following up with insurance companies, and ensuring timely reimbursement while adhering to payer guidelines and client requirements.

Key Responsibilities

• Review and analyze unpaid, denied, and underpaid professional claims.
• Follow up with insurance payers through calls and payer portals regarding claim status.
• Investigate claim denials and take appropriate corrective actions for resolution.
• Submit appeals, reconsiderations, and supporting documentation as required.
• Verify patient eligibility, benefits, authorization, and claim adjudication details.
• Work on denial management including CO-50, CO-96, CO-197, CO-198, PR-1, PR-227, and other payer-specific denials.
• Identify trends in denials and elevate recurring issues to the leadership team.
• Ensure compliance with HIPAA regulations and client-specific processes.
• Meet productivity, quality, and turnaround time (TAT) targets.
• Maintain accurate documentation of follow-up actions in the billing system.
• Collaborate with internal departments to resolve billing and coding-related issues.

Required Skills

• Good understanding of US Healthcare Revenue Cycle Management (RCM).
• Knowledge of Professional Billing (Physician Billing) workflows.
• Familiarity with Medicare, Medicaid, Commercial, PPO, HMO, and Managed Care plans.
• Strong knowledge of denial management and appeals process.
• Ability to interpret EOBs, ERAs, and remittance advice.
• Excellent communication and analytical skills.
• Proficiency in MS Excel and billing software.

Qualification

• Graduate in any discipline.
• 1-5 years of experience in Professional Billing AR / Physician Billing AR.
• Experience in handling insurance follow-up and denial management.

Location: Chennai
Shift: US Shift / Night Shift