Job Title: Executive / Sr. Executive – AR – Physician Billing
Location: Bengaluru, Hyderabad, Chennai
Job Description
We are seeking dedicated professionals for the role of Executive / Sr. Executive – AR – Physician Billing, who will be responsible for managing physician billing accounts receivable and ensuring the timely resolution of outstanding claims.
Key Responsibilities
Insurance Follow-Up:
Contact US-based insurance companies on behalf of Physicians, Clinics, or Hospitals to follow up on outstanding claims.
Persuade payers for prompt payment of claims.
Revenue Cycle Management (RCM):
Understand and contribute to the improvement of RCM processes.
Address clerical denials and ensure resolution of claims under $500.
Specialty Billing:
Handle billing for specialty cases such as Transplant, Gift of Life, and Organ Procurement.
Identify and apply appropriate billing changes for specific cases.
Compliance and Quality Assurance:
Follow HIPAA guidelines and organizational policies to maintain compliance.
Use checklists to ensure adherence to quality processes.
Client Interaction and Updates:
Collaborate with Team Leaders for client updates and ensure production logs are maintained.
Escalate unresolved issues to Managers or Team Leaders.
Operational Efficiency:
Meet productivity and quality targets within defined TAT (Turnaround Time).
Work with designated Work Queues (WQs) in EPIC software, starting at Day 30 from the billing date.
Eligibility Requirements
Experience:
1–3 years of relevant experience in AR activities for the provider side of the US healthcare domain.
Hands-on experience in claims analysis and insurance follow-ups.
Skills:
Excellent oral and written communication skills.
Familiarity with EPIC software is desirable.
Knowledge of specialty billing processes is an added advantage.
Work Hours:
Open to working US timings (EST hours).
Must be willing to work from the office.
Why Join Us?
Opportunity to gain experience in the specialized field of physician billing and RCM.
Exposure to advanced software tools like EPIC.
A dynamic work environment promoting collaboration and growth.
Competitive compensation with a focus on career development.
If you're a motivated individual with expertise in AR processes and a passion for healthcare, we invite you to apply for this role and grow with us!
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