Welcome Back

Google icon Sign in with Google
OR
I agree to abide by Pharmadaily Terms of Service and its Privacy Policy

Create Account

Google icon Sign up with Google
OR
By signing up, you agree to our Terms of Service and Privacy Policy
Instagram
youtube
Facebook

Executive / Sr. Executive – Ar – Physician Billing

Acn Healthcare
ACN Healthcare
1-3 years
Not Disclosed
10 Dec. 10, 2024
Job Description
Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

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

  1. 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.

  2. Revenue Cycle Management (RCM):

    • Understand and contribute to the improvement of RCM processes.

    • Address clerical denials and ensure resolution of claims under $500.

  3. 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.

  4. Compliance and Quality Assurance:

    • Follow HIPAA guidelines and organizational policies to maintain compliance.

    • Use checklists to ensure adherence to quality processes.

  5. 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.

  6. 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!