AR Associate

About the Role

We are seeking an experienced Accounts Receivable Associate with a strong background in Surgery Practice billing to join our team. The ideal candidate will have hands-on experience managing the end-to-end AR process for surgical specialties, ensuring timely payments, accurate claim follow-up, and efficient denial resolution.

Key Responsibilities

• Manage the full AR cycle for assigned surgery practice clients, including claim follow-up, payment posting, and collections.
• Review and analyze insurance EOBs/ERAs to ensure correct payment posting and identify underpayments.
• Follow up with payers via calls, portals, and emails to resolve pending and denied claims.
• Work on claim corrections, resubmissions, and appeals to maximize revenue recovery.
• Ensure compliance with payer-specific guidelines and maintain HIPAA confidentiality.
• Collaborate with the coding team to address claim rejections related to coding or documentation.
• Prepare and maintain AR aging reports and share updates with the management and clients.
• Track trends in denials and recommend process improvements for faster payment turnaround.

Required Skills & Qualifications

• Minimum 1–3 years of AR experience in Surgery Practices (Orthopedic, General Surgery, Plastic Surgery, etc.) and/ or Internal Medicine.
• In-depth understanding of RCM processes, CPT & ICD-10 codes relevant to surgical specialties.
• Proficiency in medical billing software and clearinghouse portals.
• Strong knowledge of payer policies (Medicare, Medicaid, and commercial insurers).
• Excellent communication and negotiation skills for dealing with payers.
• Detail-oriented, with the ability to handle high-volume claim follow-up.

Preferred Skills

• Knowledge of prior authorization and precertification processes for surgical procedures.
• Experience with denial management analytics to identify recurring issues.
• Familiarity with electronic health record (EHR) systems.

Work Conditions

• Full-time, Work From Office only – US Shift (5:30 PM to 2:30 AM IST).
• Competitive salary with performance-based incentives.
• Supportive and collaborative work environment.

Job Type: Full-time

Pay: ₹11,559.03 - ₹36,000.55 per month

Work Location: In person