Accounts Receivable Associate

Betsol

2 - 7 years

3 - 7 Lacs

Bengaluru

Posted:1 day ago| Platform:

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Skills Required

Root cause analysis Claims Front end Medical billing Coding Analytical Billing HIPAA Appeals US healthcare

Work Mode

Work from Office

Job Type

Full Time

Job Description

Key Responsibilities:

End-to-end follow-up on insurance claims via phone calls and/or payer portals.
Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation).
Perform root cause analysis and take corrective action for recurring denial trends.
Ensure timely re-submission, appeals, and escalations for denied claims.
Maintain accurate documentation of all activities performed in the billing system.
Meet daily, weekly, and monthly productivity and quality benchmarks.
Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials.
Work on denial worklists, aging reports, and assigned inventory efficiently.
Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices.
Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas.

Required Skills & Qualifications:

Minimum 2+ years of experience in US Healthcare AR and Denial Management.
Strong understanding of medical billing terminologies, CPT/ICD codes, and payer guidelines.
Hands-on experience with billing platforms (Athena, eClinicalWorks, Epic, In-Sync etc.) is preferred.
Good understanding of HIPAA compliance and patient confidentiality.
Strong communication skills verbal and written (especially for payer calls).
An analytical and problem-solving mindset to investigate and resolve complex denials.
Ability to work independently and collaboratively in a high-volume environment.

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