Job
Description
Job Title : AR Process Associate / Senior Process Associate Department : Medical Billing Location : Remote / India [Currently work from Home] Reports To : Joint VP RCM Operations Experience : 4 9 Years Shift Time : 5:30 Pm to 2:30 Am IST Company Website : https://www.modulemd.com Welcome to ModuleMD At ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare providers. Were on a mission to revolutionize revenue cycle management through AI, and we’re looking for innovators who are ready to help us shape the future. Our Culture & Values "We foster a culture of inclusivity, innovation, and integrity. Our team values collaboration, continuous improvement, and a passion for excellence." Role Overview As an AR Caller /Senior AR Caller, you will be responsible for handling complex accounts, resolving aged claims, and ensuring timely follow-up with payers in compliance with US healthcare regulations. You will also support process improvements. Role Purpose: What You’ll Be Doing Handle insurance AR follow-up on behalf of physicians in the US (denials, underpayments, no response). Work claims from the aging bucket to ensure timely resolution. Communicate effectively with payers to secure payment on outstanding claims. Verify and validate insurance details provided by patients for accuracy and clarity Resolve aged claims across Medicare, Medicaid, and Commercial payers. Analyze denial codes ( CO, PR, CR ) and initiate appeals or reprocessing. Use EHR/EMR systems to track claims and billing data accurately. Provide weekly AR reports and support in forecasting collections Ensure HIPAA-compliant documentation of all interactions. Meet individual KPIs and update production logs regularly. Achieve daily, weekly, and monthly targets. Follow all internal policies and procedures with discipline. Key Responsibilities: What Makes You A Fit Strong understanding of US healthcare RCM and medical billing processes Ability to handle claim denials, rejections, and underpayments independently. Proficient in working on AR aging reports and prioritizing high-value claims. Excellent verbal communication and negotiation skills with insurance representatives. Skilled in analyzing denial reasons and executing appropriate follow-up actions (appeals, re-submissions). Familiarity with EHR/EMR platforms, payer portals, and claim status workflows. Consistent achievement of KPIs—daily productivity, quality, and turnaround time. Detail-oriented with strong documentation and compliance practices (HIPAA). Capable of working under pressure and adapting to fast-paced environments. A proactive team player with a problem-solving mindset. Must-Have Skills: Strong verbal communication skills – Clear, confident, and professional while speaking with US insurance payers. Thorough knowledge of denial codes (CO, PR, CR) and AR workflows. Hands-on experience with EHR/EMR systems Expertise in US insurance processes – Medicare, Medicaid, and commercial payers. Analytical skills – Ability to identify trends in denials, resolve escalations, and suggest improvements. Proficiency in payer portals and claims follow-up tools. Appeals and Reprocessing knowledge – Writing effective appeal letters and understanding payer timelines. Attention to detail – Accurate documentation and adherence to HIPAA guidelines. Time management & multitasking – Handling high volumes with timely resolution. Team collaboration – Ability to coordinate with billing, coding, and client teams. Preferred Specialty Experience Experience in billing for the following specialties is an added advantage: Allergy Asthma Immunology Pulmonology Candidates with prior exposure to these domains will be given preference due to the nuanced nature of coding and claim processing in these specialties. Required Qualifications 3+ years in healthcare ML (denial management preferred). Graduate in Science or Arts Should be willing to work in US Shift Experience in Healthcare Revenue Cycle Management process Should have minimum 2 years of AR calling Experience must. Strong listening and verbal communication skills Good computer skills including Microsoft Office suite. Ability to prioritize and manage work queue. Ability to work independently as well as in a team environment. Strong analytical and problem-solving skills Good typing skills with a speed of min 30-35 words /min Why Join ModuleMD? Join a future-forward healthcare company where AI and automation are transforming revenue cycle management—giving AR callers the tools to work smarter and faster. Be part of an innovative team that bridges traditional billing expertise with cutting-edge technology to reduce denials and accelerate reimbursements. Gain exposure to AI-driven workflows and platforms, setting you apart in a rapidly evolving healthcare industry. Thrive in a flexible, collaborative, and learning-focused culture that values your domain knowledge and encourages continuous growth. Application Process : "Our hiring process includes an initial screening, a technical assessment, and a final interview with the team. We aim to keep the process transparent and timely." Equal Opportunity Statement : "We are an equal opportunity employer and value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, or disability status." Ready to Join the Future of Healthcare AI? Apply now with your GitHub/portfolio link and CV.
