Exciting opportunities for AR Manager (US Healthcare) Role & responsibilities Day-to-Day Management: Oversee A/R related tasks and resources, ensuring that performance standards are met. Monitor and maintain high levels of customer service across the team. Establish clear, measurable objectives for the services team and regularly track performance. Provide coaching and discipline as required to ensure continuous improvement. Performance Monitoring & Reporting: Track and analyze departmental statistics and trends to evaluate the overall performance. Provide regular reports to the senior Management Team for weekly status meetings. Offer proactive follow-up, communication, and issue management to resolve concerns and ensure customer satisfaction. Contractual and Customer Satisfaction: Ensure contractual obligations are met and a high level of customer satisfaction is maintained. Be the point of escalation for customer A/R issues and work closely with Account Managers regarding dissatisfied clients. Process Improvement & New Initiatives: Identify and implement new processes where needed to improve team and department efficiency. Address routine denials or process challenges, providing education to staff and identifying opportunities for Account Managers to discuss with clients. Identify denial trends, document findings, and escalate to Account Managers for review and action. Team Development & Communication: Conduct regular staff meetings to address issues, identify training needs, and keep the team updated on changes in payor policies. Schedule weekly/bi-weekly meetings with A/R Team Leads, either in a group setting or one-on-one. Foster a team-oriented environment that encourages collaboration and continuous learning. Leadership & Oversight: Supervise team performance, ensuring staff is meeting objectives and delivering high-quality service. Review employee time tracking to ensure accurate logging against the correct customers. Approve weekly timecards, PTO, and Sick/Safe time in Workday. Revenue Cycle Management: Manage the billing and posting processes, identifying and escalating any errors to functional area managers for correction. Ensure a thorough understanding of all aspects of revenue cycle management, billing, and collections within the team Minimum Qualifications: Proven 7 to 10 years of work experience in-depth knowledge of revenue cycle management, including billing and collections. Proven 3 to 4 years of recent experience in managing a team. Ability to analyze performance data, identify trends, and take action to address issues. Proven experience in advanced Excel operations, including data cleaning, analysis, and visualisation of complex datasets. Experience in dealing with customer issues and escalations, ensuring high levels of satisfaction. Strong organizational skills with the ability to plan, schedule, and ensure sufficient team coverage. Strong leadership and interpersonal skills with the ability to coach, mentor, and develop team members. Preferred Skills: Proven experience working with practice management software such as eClinicalWorks (eCW), Athenahealth, CareTracker, ePic, HealthFusion, and other relevant healthcare platforms for efficient patient data handling, appointment scheduling, billing, and clinical documentation. Familiarity with MGMA standards and customer service best practices. Experience with WorkDay or similar HR management software. Ability to handle multiple priorities and meet deadlines in a fast-paced environment. Shift timings: 7:oopm IST to 4:00am IST Interested Candidates can apply on below link and put source in the site as Naukri https://harriscomputer.wd3.myworkdayjobs.com/en-US/1/job/Office---Mumbai-(Vikroli)/Manager--Accounts-Receivable_R0029952/apply/autofillWithResume
Below is the Job Description for AR Caller (Accounts Receivable/SR. Accounts Receivable) Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Preferred candidate profile -Must have 2yr and more experience in Accounts Receivable and Denials Shift- Night Shift Transport Facility is available Competitive Salary as per Market Standards Work from office- Vikhroli Interested Candidates can share their resumes on vgounder@harriscomputers.com Walk in on 17th June 2025 4-7pm for Interview Company Address : Bizmatics India Pvt Ltd. 91 Springboard Business Hub Pvt Ltd, Gate No 2, Plant 6, Ground Floor, LBS Marg, Godrej Industrial Estate, Vikhroli West, Mumbai, Maharashtra- 400079
Role & responsibilities : Assistant Manager in Payment Posting: Posting Payments: Manually or electronically applying payments to the correct customer accounts and invoices. Data Entry: Accurately entering payment information into the accounting system. Reconciliation: Comparing payments to the company's records to ensure accuracy and identify any discrepancies. Discrepancy Resolution: Investigating and resolving any issues or discrepancies related to payments. Record Keeping: Maintaining accurate records of payments, adjustments, and other relevant information. Support to the Manager: Assisting the Manager in managing the payment posting process, including training, workflow, and project management. Compliance: Ensuring that all payment posting activities adhere to company policies and procedures, and any relevant regulations. Communication: Communicating with internal and external parties (e.g., customers, insurance companies) regarding payments and any related issues. Preferred candidate profile -From healthcare & RCM industry. I nterested candidate can share CV on pojha@harriscomputer.com
Below is the Job Description for AR Caller (Accounts Receivable/SR. Accounts Receivable) Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Preferred candidate profile -Must have 2yr and more experience in Accounts Receivable and Denials Shift- Night Shift Transport Facility is available Competitive Salary as per Market Standards Work from office- Vikhroli Interested Candidates can share their resumes on pojha@harriscomputer.com Please apply on below link: https://harriscomputer.wd3.myworkdayjobs.com/1/job/Office---Mumbai-Andheri/Accounts-Receivable-Associate_R0029151 Company Address : Bizmatics India Pvt Ltd. 91 Springboard Business Hub Pvt Ltd, Gate No 2, Plant 6, Ground Floor, LBS Marg, Godrej Industrial Estate, Vikhroli West, Mumbai, Maharashtra- 400079
Job Description Business Unit: Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we remain dedicated to partnering with RCM companies that offer diverse solutions and address today's most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we improve financial performance and patient experience, helping to build sustainable healthcare businesses. Job Summary: The Accounts Receivable Associate is responsible for managing and following up on outstanding claims, ensuring timely collections, and resolving payment discrepancies. This role plays a crucial part in the revenue cycle process by reducing outstanding accounts receivable, improving cash flow, and maintaining accurate financial records. Work Mode: Work from Office Shift Timings: 8pm to 5am (Night Shift) Location: Mumbai What We Are Looking For: Primary Functions: Claims Follow-Up & Collections: Monitor outstanding insurance claims and patient balances.Conduct timely follow-ups with insurance providers to ensure claim resolution. Investigate and resolve denials, underpayments, and delays in claim processing. Contact patients for outstanding balances, set up payment plans, and provide billing support Payment Reconciliation & Posting : • Work closely with the payment posting team to ensure correct application of payments and adjustments. • Reconcile daily AR reports and accounts to track collections and pending claims. • Identify and escalate billing errors or discrepancies for resolution. Denial Management & Appeals: • Analyze denial trends and collaborate with the billing team to correct recurring issues. • Prepare and submit appeals for denied or underpaid claims with appropriate documentation. • Maintain records of appeal status and follow up with insurance carriers. Reporting & Compliance : • Generate and maintain aging reports, AR summaries, and collection reports. • Ensure compliance with HIPAA, Medicare, Medicaid, and private payer policies. • Document all collection activities and maintain accurate AR records. Cross-Functional Collaboration : • Work with the billing, payment posting, and coding teams to resolve claim discrepancies. • Communicate with insurance representatives and internal stakeholders to streamline the AR (Mandatory Qualifications & Skills): • Bachelors degree in Accounting, Finance, Business Administration, or a related field (preferred). • 2+ years of experience in accounts receivable, medical billing, or revenue cycle management. • Experience with RCM software (e.g., EPIC, Athenahealth, Cerner, eClinicalWorks, NextGen, Kareo, or Meditech). What Would Make You Stand Out: (Preferred/Good-to-Have Skills) Strong knowledge of insurance reimbursement processes, AR management, and medical billing. Familiarity with CPT, ICD-10, and HCPCS codes for claim verification. Proficiency in Microsoft Excel, financial reconciliation, and reporting tools. Ability to work independently and manage high-volume AR portfolios. Skills/ Behaviourla Skills: Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Benefits: Annual Public Holidays as applicable 30 days total leave per calendar year Mediclaim policy Lifestyle Rewards Program Group Term Life Insurance Gratuity ...and more!