Process Associate

Knack RCM; Mohali; On-site; INR 250,000 - 450,000; Full time

Job summary

Knack RCM in Mohali, India is seeking motivated Process Associates – AR Caller to join our US Healthcare Revenue Cycle Management team. You will handle AR follow-up by contacting US insurers, review claims, verify payment details, and document outcomes, aiming to recover revenue.

The role requires familiarity with US Healthcare AR processes and strong English communication in a fast-paced, target-driven environment.

Qualifications

• Graduate in any discipline.
• 1 year of experience in US Healthcare Revenue Cycle Management.
• Experience in AR follow-up, Medical Billing, and Insurance Verification.
• Strong verbal and written English communication skills.
• Ability to work in a target-driven environment.

Responsibilities

• Follow up with insurance companies on outstanding medical claims via phone calls.
• Review unpaid, underpaid, denied, and pending claims to determine actions.
• Verify claim status, payment details, denial reasons, and reimbursement information.
• Document call outcomes and update account notes in the billing system.
• Work assigned AR inventories and ensure timely resolution of claims.
• Escalate complex accounts and payer issues as required.
• Contact insurance representatives to obtain claim status and payment updates.
• Follow up on denied and rejected claims for reprocessing and payment.
• Identify reimbursement discrepancies and coordinate corrective actions.
• Understand payer-specific guidelines and billing requirements.
• Support timely collection of outstanding receivables and revenue recovery.

Skills

US Healthcare AR

English communication

Education

Graduate in any discipline

Job description

We are looking for motivated and detail-oriented Process Associates – AR Caller to join our US Healthcare Revenue Cycle Management (RCM) team. The role involves working on Accounts Receivable (AR) Follow-up by interacting with US insurance companies to resolve outstanding claims, identify payment issues, and support revenue recovery efforts.

The ideal candidate should have prior experience in US Healthcare AR processes, strong communication skills, and the ability to work effectively in a fast-paced, target-driven environment.

KEY RESPONSIBILITIES

Accounts Receivable Follow-up

• Follow up with insurance companies on outstanding medical claims via phone calls.
• Review unpaid, underpaid, denied, and pending claims to determine appropriate action.
• Verify claim status, payment details, denial reasons, and reimbursement information.
• Document call outcomes and update account notes accurately in the billing system.
• Work assigned AR inventories and ensure timely resolution of claims.
• Escalate complex accounts and payer issues as required.

Claims & Insurance Coordination

• Contact insurance representatives to obtain claim status and payment updates.
• Follow up on denied and rejected claims for reprocessing and payment.
• Identify reimbursement discrepancies and coordinate corrective actions.
• Understand payer-specific guidelines and billing requirements.
• Support timely collection of outstanding receivables and revenue recovery.

Quality & Compliance

• Ensure adherence to client processes, quality standards, and productivity targets.
• Maintain HIPAA compliance and patient data confidentiality.
• Follow established SOPs, payer guidelines, and organizational policies.
• Participate in quality reviews, feedback sessions, and process improvement initiatives.

Learning & Performance

• Stay updated on insurance policies, reimbursement guidelines, and AR processes.
• Participate in ongoing training and development programs.
• Consistently achieve individual productivity, quality, and collection goals.
• Contribute to team success through collaboration and knowledge sharing.

EDUCATIONAL QUALIFICATIONS

• Graduate in any discipline
• Healthcare, Life Sciences, Commerce, Management, or related backgrounds preferred

DESIRED CANDIDATE PROFILE

• Minimum 1 year of experience in US Healthcare Revenue Cycle Management.
• Experience in Accounts Receivable (AR) Follow-up is preferred.
• Good understanding of:
  • Medical Billing
  • Accounts Receivable Management
  • Insurance Verification
  • Commercial Insurance Billing
• Strong verbal and written English communication skills.
• Ability to interact effectively with US insurance representatives.
• Basic knowledge of healthcare billing systems and documentation procedures.
• Good analytical and problem-solving skills.
• Ability to work in a target-driven environment.