Accounts Receivable Executive

Purview Services

1 - 6 years

2 - 6 Lacs

hyderabad

Posted:-1 days ago| Platform:

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Skills Required

accounts receivable us healthcare denial management ar billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities:

AR Caller

Key Responsibilities

Make outbound calls to US insurance companies to follow up on pending, denied, or unpaid medical claims.
Review claim status (paid/denied/pending) and take corrective action accordingly.
Identify, analyze, and resolve claim denials (coding issues, eligibility, prior authorization, etc.).
Update claim information with accurate call notes in the billing system.
Coordinate with the billing, coding, and payment posting teams to resolve discrepancies.
Handle aging buckets (30/60/90/120+ days) and ensure maximum recovery.
Understand EOB/ERA and insurance guidelines for various payers.
Ensure compliance with HIPAA and company standards.
Meet daily/weekly productivity and quality targets.

Required Skills & Qualifications

16 years of experience in AR Calling / RCM (US Healthcare).
Strong understanding of US insurance providers and denial management.
Excellent English communication (verbal & written).
Ability to work night shifts (US shift).
Good analytical and problem-solving skills.
Experience with medical billing tools/software (Athena, Kareo, AdvancedMD, NextGen, etc.) is an advantage.
the day-to-day responsibilities for this role.

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