Job Title: Executive / Sr. Executive - AR - Hospital Billing
Location: Bengaluru, Hyderabad, Chennai
Job Description
We are looking for Executive / Sr. Executive - AR - Hospital Billing professionals to join our dynamic team. The role involves managing accounts receivable processes for US-based healthcare providers, with a focus on ensuring prompt and accurate claim resolution.
Key Responsibilities
Insurance Follow-Up:
Contact insurance companies in the US on behalf of Physicians, Clinics, or Hospitals to follow up on outstanding accounts receivables.
Persuade payers for timely payment of outstanding claims.
Revenue Cycle Management (RCM):
Apply sound knowledge of the US healthcare domain (provider side) and improve processes within the RCM framework.
Address claims-related issues with a clear understanding of specialty billing, particularly in transplant, organ procurement, or Gift of Life billing.
Client Interaction and Updates:
Collaborate with the Team Leader to receive and act on client updates.
Provide timely production logs and adhere to productivity and quality targets.
Compliance and Quality Control:
Ensure strict adherence to HIPAA guidelines and organizational policies.
Follow quality processes using checklists and comply with QMS and ISMS policies.
Specialized Billing Tasks:
Manage claims <$5,000 at Day 60, working on designated Work Queues (WQs) in EPIC software.
Perform detailed analysis and escalate unresolved issues to Team Leaders or Managers when necessary.
Eligibility Requirements
Experience: 1–3 years of relevant experience in AR (Accounts Receivable) activities in the provider side of the US healthcare domain.
Skills:
Hands-on experience in analyzing claims and calling insurance companies for resolution.
Excellent oral and written communication skills.
Familiarity with EPIC software (desirable but not mandatory).
Knowledge of specialty billing (e.g., transplant, organ procurement) is a significant advantage.
Work Hours:
Open to working US timings (EST hours).
Willingness to work from the office.
Why Join Us?
Opportunity to work with a leading organization in healthcare revenue cycle management.
Competitive salary with growth potential.
Exposure to cutting-edge software like EPIC and advanced specialty billing practices.
A collaborative and supportive work environment promoting continuous learning.
If you meet the qualifications and are passionate about AR and RCM processes, apply now to make a difference in the healthcare sector!
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