Sr. Executive/ Executive RCM

CorroHealth Infotech Private Limited; Dadri; On-site; INR 279,000 - 502,200; Full time

Job summary

CorroHealth Infotech Private Limited, located in Dadri, Uttar Pradesh, is seeking candidates for accounts receivable follow-up in the US healthcare sector. This position requires maintaining documentation, performing analysis of claims, and ensuring customer inquiries are addressed efficiently.

The ideal candidate should possess strong communication and computer skills, be willing to work night shifts, and have experience in denial management. Applicants should have completed at least the 12th grade.

Qualifications

• 8 months - 5 years of experience in accounts receivable follow-up or denial management for US healthcare customers.
• Ability to maintain confidentiality of information.
• Willingness to work continuously in night shifts.

Responsibilities

• Perform pre-call analysis and check status of claims.
• Maintain documentation for insurance companies.
• Assess and resolve customer enquiries and complaints.
• Prepare, review, and transmit claims using AR software.

Skills

Excellent communication skills

Proficient computer skills

Strong people skills

Outstanding organizational skills

Education

12th Pass/Graduate in any discipline

Job description

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.
• Record after-call actions and perform post call analysis for the claim follow-up.
• Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact.
• Provide accurate product/service information to customer, research available documentation including authorization, nursing notes, medical documentation on client’s systems, interpret explanation of benefits received etc prior to making the call.
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to document reasons for denials/underpayments.
• Prepare, review, and transmit claims using AR software, including electronic and paper claim processing.
• Review patient bills for accuracy and completeness and obtain any missing information.

REQUIRED EXPERTISE & QUALIFICATION

• 12th Pass/Graduate in any discipline
• 8 months - 5 years of experience in accounts receivable follow-up / denial management for US healthcare customers.
• Proficient computer skills.
• Excellent communication skills, both verbal and written.
• Strong people skills & Outstanding organizational skills.
• Ability to maintain the confidentiality of information.
• Willingness to work continuously in night shifts.

PHYSICAL DEMANDS

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye‑hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, team members are subject to sitting for prolonged periods. Infrequently, team members must be able to lift and move material weighing up to 20 lbs. Team members may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.