AR Follow-Up Specialist
Location: Gurugram / Noida / Tikri (Gurugram)
Employment Type: Full Time
Job Overview
The AR Follow-Up Specialist is responsible for processing and managing Accounts Receivable (AR) activities within the US Healthcare Revenue Cycle Management (RCM) process. The role focuses on reducing payer rejections, improving claim resolution rates, ensuring accurate billing, and maintaining compliance with defined turnaround times (TATs).
The position requires strong knowledge of healthcare billing processes, payer guidelines, Medicare and Medicaid regulations, and effective communication skills to support operational excellence.
Role Objective
Process medical billing accounts accurately within defined turnaround times.
Reduce payer rejections and improve claim resolution efficiency.
Support revenue cycle performance through accurate AR follow-up and denial management activities.
Key Responsibilities
Accounts Receivable (AR) Management
Process medical accounts accurately according to US healthcare billing guidelines.
Review and follow up on outstanding claims and unpaid accounts.
Analyze claim status and identify reasons for payment delays or denials.
Ensure timely resolution of Accounts Receivable balances.
Maintain productivity and quality standards as defined by the process.
Payer Rejection & Denial Management
Process payer rejections accurately within defined turnaround times.
Review denial reasons and determine appropriate corrective actions.
Coordinate claim corrections and resubmissions where required.
Follow payer-specific guidelines to maximize reimbursement opportunities.
Reduce recurring denials through accurate claim handling and issue identification.
Revenue Cycle Operations
Support end-to-end healthcare revenue cycle processes.
Ensure compliance with client requirements and billing standards.
Maintain accurate documentation of account actions and resolutions.
Track and update claim status within billing systems.
Quality & Compliance
Ensure all work is completed accurately and within operational SLAs.
Follow organizational policies and healthcare compliance standards.
Maintain data confidentiality and patient information security.
Adhere to process guidelines and quality requirements.
Communication & Collaboration
Collaborate effectively with team members and operational leadership.
Escalate complex claim issues when required.
Maintain professional communication with internal stakeholders.
Support team goals and operational initiatives.
Qualifications
Graduate in any discipline from a recognized institution.
Strong written and verbal communication skills.
Good analytical and problem-solving abilities.
Experience (Preferred)
Experience in:
Accounts Receivable (AR) Follow-Up
Medical Billing
Revenue Cycle Management (RCM)
Healthcare Operations
Freshers with relevant healthcare knowledge may also be considered for entry-level opportunities depending on business requirements.
Required Skills
US Healthcare Billing
Accounts Receivable (AR) Follow-Up
Denial Management
Payer Rejection Handling
Medicare Knowledge
Medicaid Knowledge
Revenue Cycle Management (RCM)
Analytical Thinking
Communication Skills
Team Collaboration
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