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R Systems International
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Accounts Receivable/Credentialing - Executive/Sr Executive

Accounts Receivable/Credentialing - Executive/Sr Executive

R Systems International

3 - 5 years

2 - 5 Lacs

Pune

Posted:1 month ago| Platform:

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Skills Required

Accounts Receivable Credentialing AR Calling Provider Enrollment US Healthcare Denial Management RCM

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & Responsibilities :- Claims Management : Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management : Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication : Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies. Account Follow-up : Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up. Oversee credentialing processes, ensuring compliance with industry and regulatory standards. Collect, review, and verify documentation such as licenses, certifications, and work history. Maintain and update credentialing databases with accurate and current provider information. Track credentialing status, expirations, and re-credentialing timelines using software tools. Act as the primary contact for healthcare providers, guiding them through the credentialing process. Perks and benefits Work from Office (Pune) PF Deductions Gratuity Health Insurance Kindly share your resume on guddan@rsystems.com or ping me at 7011037919 for more details. Note: Looking for the immediate Joiner

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R Systems International

www.rsystems.com

Information Technology and Services

Gurgaon

5001-10000 Employees

99 Jobs

Key People

Dr. Rajnish Gaur

Managing Director & CEO
Mr. Anand Jha

Chief Financial Officer
Mr. Ashish Jha

Chief Operating Officer

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Accounts Receivable/Credentialing - Executive/Sr Executive

Experience & Salary

Skills Required

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Job Description

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