Claim Specialist – US Healthcare RCM

Our reputed client, a leading US Healthcare Revenue Cycle Management (RCM) service provider, is looking for experienced professionals to join their dynamic team in Kochi. This is an excellent opportunity for candidates with strong AR Calling and Denial Management skills to advance their careers in a fast-growing organization.

Key Responsibilities:

• Perform

  AR calling

  to US insurance companies to follow up on pending claims.
• Identify, analyze, and resolve

  denials and underpayments

  efficiently.
• Understand and interpret

  Explanation of Benefits (EOBs)

  and insurance correspondence.
• Take necessary actions to get claims paid in a

  timely and accurate manner

  .
• Escalate unresolved claims to the appropriate team or level for further action.
• Maintain detailed and accurate records of all interactions with insurance companies.
• Achieve assigned productivity and quality targets.

Required Skills & Experience:

• Minimum 1–3 years

  of experience in

  US Healthcare AR Calling

  with strong exposure to

  Denial Handling

  .
• Excellent communication skills in English (both verbal and written).
• Strong analytical and problem-solving abilities.
• Knowledge of US healthcare insurance guidelines and RCM workflow.
• Proficiency in MS Office tools and medical billing software.

Education:

• Any graduate with relevant experience in US healthcare AR calling and denial management.

Benefits:

• Competitive salary package (₹25,000 – ₹40,000 per month based on experience).
• Performance incentives.
• Health benefits as per company policy.
• Opportunity to work with a reputed US Healthcare RCM service provider.