Executive / Sr. Executive AR – Physician Billing

ACN Healthcare Inc; Hyderabad; On-site; INR 3,362,000 - 5,283,000; Full time

Job summary

ACN Healthcare Inc. is seeking an Executive / Sr. Executive – AR – Physician Billing to manage AR follow-ups with US payers. The role requires handling claims, negotiating payments, and ensuring adherence to HIPAA and RCM standards.

The candidate will work in a fast-paced environment, following set productivity targets and collaborating with Team Leaders to resolve denials and ensure timely payments.

Qualifications

• 1–3 years of provider-side US AR experience.
• HIPAA knowledge and guidelines.
• Experience in analysis and calling insurance companies.
• Experience with or knowledge of transplant/organ procurement billing is a plus.
• Excellent oral and written communication skills.

Responsibilities

• Call insurance companies (US) on behalf of physicians/clinics/hospitals to follow up on outstanding AR.
• Convince payers for payment of outstanding claims.
• Follow HIPAA guidelines and comply with QMS/ISMS policies.
• Meet productivity and quality targets within set TAT.
• Identify issues and escalate to Team Leader/Manager.
• Maintain knowledge of RCM processes and policy adherence.

Skills

Oral communication

Written communication

US healthcare knowledge

Problem solving

Tools

EPIC software

Job description

Executive / Sr. Executive – AR – Physician Billing

• Responsible for calling Insurance companies (in the US) on behalf of Physicians/Clinics/Hospitals and follow up on outstanding Accounts Receivables
• Should be able to convince the insurance company (payers) for payment of their outstanding claims
• Sound knowledge in U.S. Healthcare Domain (provider side) and methods for improvement on the same
• Should have basic knowledge of the entire Revenue Cycle Management (RCM)
• Manage & develop collaterals as required
• To check with Team Leader for client updates
• Meeting all set productivity and quality targets with TAT
• Identify issues and escape the same to the Team Leader/Manager
• Adherence to company policies, rules and regulations
• To follow quality processes using checklist
• Adherence to HIPAA guidelines
• Responsible for complying with all QMS and ISMS Policies and procedure
• Knowledge of Speciality billing with experience in Transplant/Gift Of Life/Organ Procurement billing and follow-up, identify the right changes and billing the same to the specific Organ procurement will be added advantage
• 1 to 3 years of relevant experience in provider side (US based AR activities)
• Hands‑on Experience in Analysis and calling Insurance companies
• Excellent Oral and Written communication
• Having knowledge of EPIC software is desirable
• Should be ready to work on the claims < $500 Follow-up and Clerical denials
• Accounts will qualify to you to work at day 30 from bill date in specific WQs that you will work in Epic
• Should be open to Work from Office in US Timings - EST hours

California office
1919 Williams Street, Suite 360,
Simi Valley, CA 93065
805-517-1000