RCM AR Specialist (US Healthcare)

Allscripts(India) LLP, ultimately a subsidiary of Altera Digital Health Inc.,[Altera India]; Pune District; On-site; INR 450,000 - 650,000; Full time

Job summary

Allscripts(India) LLP in Pune is hiring an RCM AR Specialist for night shift to own recovery and management of AR for US healthcare clients from our Pune office.

You will follow up on claims, handle denials, appeals, and ensure paid secondary claims; collaborate with payers and clients to meet AR targets.

The role requires experience in CPT/ICD-10, familiarity with Epic/NextGen/Allscripts, and strong communication and teamwork.

Qualifications

• Experience in US healthcare AR calling and denial management.
• Familiar with CPT, ICD-10, and modifiers.
• Experience with billing systems such as Epic, NextGen, Allscripts.
• Strong communication and customer service skills.

Responsibilities

• Follow up on unpaid claims using aging reports and client practice management systems.
• Handle complex payer denials and prepare effective appeals.
• Make sure secondary claims are processed and paid.
• Monitor held and unbilled vouchers, denial trends, patient balances, and credits/refunds.
• Answer and resolve client, patient, and carrier calls and requests promptly.
• Track and manage information requests to clients.
• Meet productivity, quality, and compliance goals, including 1,400 accounts per month.
• Mentor new team members as needed.

Skills

US healthcare AR

Denial management

Communication skills

Customer service

Tools

Epic

NextGen

Allscripts

Crystal Reports

MS Office

Job description

RCM AR Specialist Pune (Work from Office) | Night Shift: 7:30 PM 4:30 AM IST

We're hiring RCM AR Specialists to join our Revenue Cycle Management team in Pune. In this role, you'll own the recovery and management of accounts receivable for our US healthcare clients. You'll research and follow up on medical insurance claims, prepare appeals, and work directly with insurance carriers to resolve claims and hit our AR targets.

What you'll do

• Follow up on unpaid claims using aging reports, correspondence, clearinghouse and PM rejections, and client practice management systems


• Handle complex payer denials and prepare effective appeals


• Make sure secondary claims are processed and paid


• Monitor and reconcile held and unbilled vouchers, denial trends, patient balances, and credits/refunds


• Answer and resolve client, patient, and carrier calls and requests promptly


• Track and manage information requests to clients


• Meet productivity, quality, and compliance goals, including 1,400 accounts worked per month


• Mentor new team members as needed

What you'll bring

• Experience in US healthcare AR calling and denial management


• Working knowledge of CPT, ICD-10, and modifiers


• Familiarity with Medicare Fee-for-Service, commercial payers, HMOs, and IPAs


• Experience with billing systems such as Epic, NextGen, Allscripts, or similar


• Comfort using payer websites and Laserfiche, plus basic MS Office skills


• Specialty experience in Psychiatry, Internal Medicine, Orthopedics, or General Surgery is a plus


• MS Access, PowerPoint, or Crystal Reports experience is a plus


• Strong communication and customer service skills

Working arrangements

• Willingness to work night shifts from our Pune office


• After-hours and on-call support may be needed during peak periods (month, quarter, and year end), when PTO is limited