Healthcare AR Specialist Doctus Data Services Private Limited

5.0 - 9.0 years

0 Lacs

hyderabad, telangana

On-site

As a Healthcare AR Specialist in the US Healthcare industry, you will be joining a leading US healthcare revenue cycle team. Your role will involve managing accounts receivable, resolving denied claims, and driving reimbursement outcomes through the utilization of top-tier EMR and RCM tools. Your key responsibilities will include tracking and following up on unpaid/denied claims using systems such as Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. You will investigate denials, rectify errors, and prepare appeals with necessary documentation. Analyzing AR aging to prioritize collections and reduce outstanding receivables will be crucial, along with collaborating across coding, billing, and revenue cycle teams to streamline workflows. Additionally, generating reports and KPIs to monitor performance and identify denial trends will be part of your routine tasks. To excel in this role, you are required to have at least 5 years of experience in US medical AR, denial resolution, or insurance follow-up. Proficiency in EMR/RCM systems such as Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva is essential. A strong understanding of CPT, ICD-10, HCPCS codes, and AR workflows is necessary, along with excellent communication, analytical, and time management skills. Preferred qualifications include a Bachelor's degree in life sciences, healthcare, finance, or a related field, as well as certifications like CMRS, CRCR, or equivalent. By joining us, you will become part of a high-performance team that is dedicated to transforming healthcare revenue cycles. You will have the opportunity to work with industry-leading tools and processes, gain exposure to advanced US RCM operations, and benefit from ongoing training and career progression opportunities.,

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Healthcare Accounts Receivable Specialist Doctus Data Services Private Limited

3.0 - 5.0 years

0 Lacs

hyderabad, telangana, india

On-site

Job Title: Healthcare AR Specialist Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team. Were hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. --- Key Responsibilities: Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. Analyze AR aging to prioritize collections and reduce outstanding receivables. Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules. Collaborate across coding, billing, and revenue cycle teams to streamline workflows. Generate reports and KPIs to monitor performance and identify denial trends. Required Qualifications: 3+ years of experience in US medical AR, denial resolution, or insurance follow-up. Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena and Artiva. Strong knowledge of CPT, ICD-10, HCPCS codes and AR workflows. Excellent communication, analytical, and time management skills. Preferred: Bachelors degree in life sciences, healthcare, finance, or related field. Certifications: CMRS, CRCR, or equivalent. Experience handling Medicare, Medicaid, and commercial payers. Why Join Us: Be a part of a high-performance team transforming healthcare revenue cycles. Work with industry-leading tools and processes. Exposure to advanced US RCM operations. Ongoing training and career progression opportunities. Show more Show less

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