SR. Accounts Receivable Associate

PYXIDIA TECHLAB; Navi Mumbai; On-site; INR 500,000 - 700,000; Full time

Job summary

A leading IT services company in Navi Mumbai is hiring an experienced Accounts Receivable (AR) Caller for their US healthcare team. This full-time role involves managing claims, handling denial management, and ensuring regulatory compliance. Candidates must have 1-2 years of experience in the healthcare industry, specifically with Epic Software and the CMS-1500 process. Strong communication skills and professionalism are essential for client interactions in this mid-senior level position.

Qualifications

• 1 to 2 years of experience in AR calling within the US Healthcare Industry.
• Hands-on experience with Epic Software is mandatory.
• Experience with the CMS-1500 process and US EOBs.
• In-depth knowledge of Denial Management relevant to US payers.

Responsibilities

• Proactively follow up with US-based medical insurance payers on outstanding claims.
• Complete and send appropriate claim forms according to guidelines.
• Manage and resolve claim denials efficiently within the US healthcare framework.
• Ensure compliance with US healthcare regulations and maintain documentation.
• Demonstrate professionalism and service excellence in client interactions.

Skills

US Healthcare knowledge

Epic Software

Claim Follow-Up

Denial Management

Communication Skills

Problem-Solving Skills

Education

Any Graduate degree

Job description

Hiring US Healthcare AR Caller | Epic Software | Denial Management | RCM | Navi Mumbai | Turbhe

Job Description: US Healthcare AR Callers

About the Role

We are seeking dedicated and experienced Accounts Receivable (AR) Callers to join our Navi Mumbai team. This crucial role within our Revenue Cycle Management (RCM) operations focuses specifically on managing and resolving outstanding claims within the US healthcare sector. The ideal candidate will be proficient in specific medical billing software, demonstrate expert knowledge of US healthcare guidelines, and maintain strict compliance with industry standards.

Key Responsibilities

• Claim Follow-Up and Resolution: Proactively follow up with US-based medical insurance payers via phone regarding the status of outstanding claims to ensure timely reimbursement.
• Form Preparation & Submission: Accurately complete and send appropriate claim forms, adhering strictly to US CMS, UB04, CMS-1500, and third-party payer guidelines.
• Denial Management: Utilize end-to-end process knowledge to manage, analyze, and resolve claim denials efficiently within the US healthcare framework.
• Compliance and Documentation: Ensure all activities align with US healthcare regulations (e.g., HIPAA) and maintain meticulous documentation of all follow-up actions and communications within the billing system.
• Service Excellence: Demonstrate a high level of professionalism and service excellence when interacting with all clients, employees, and US-based patient account details.

Required Qualifications & Skills

• 1 to 2 years of proven experience in an AR calling role exclusively within the US Healthcare Industry.
• Specific, hands‑on experience working with Epic Software is mandatory.
• Experience working with the CMS-1500 process and US EOBs (Explanation of Benefits).
• Eligibility: Any Graduate degree is acceptable.
• In-depth, end-to-end process knowledge of Denial Management relevant to US payers.
• Familiarity with US billing codes and guidelines.
• Strong communication and problem‑solving skills with a professional command of English.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Accounting/Auditing and Finance

Industries: IT Services and IT Consulting