3 Cpsi Jobs

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.,

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

You will be responsible for working through a book of Accounts Receivable (AR) and developing a plan to maintain proper coverage on all accounts. This includes reviewing aged accounts, tracing, and appealing unpaid or erroneously paid/denied accounts. You will work on all denials and rejections received by researching steps previously taken and taking additional action as necessary to resolve the claim. Additionally, you will review and correct claim rejections received from the clearinghouse, verify eligibility, coverage, and claim status online through insurance portals, and resubmit insurance claims that have received no response or are not on file. Furthermore, you will transfer outstanding balances to patients or the next responsible party when required, make corrections on CMS 1500 claim forms, and rebill claims. Your responsibilities will also involve working on Commercial, Medicaid, Tricare, and Workers Compensation denials/rejections, documenting insurance denials/rejections properly, and communicating claim denials/rejections details related to missing information with the client. You will collaborate with other staff to follow up on accounts until a zero balance is achieved, maintain required billing records, reports, and files, and review and address correspondence daily. It is essential for you to identify trends and inform the client lead/manager as appropriate, escalate issues when necessary, and perform any other responsibilities as assigned. This full-time role is eligible for benefits. To be successful in this position, you must have a minimum of one year of experience working with a healthcare provider or an Associate's Degree in Healthcare Management, Business Management, or a related field. Experience with healthcare billing and collections, various practice management systems, revenue cycle management, and facility and/or professional revenue cycle experience is required. Additionally, proficiency with MS Outlook, Word, and Excel is necessary, along with the ability to work independently and as part of a team. Strong attention to detail, speed while working within tight deadlines, exceptional ability to follow oral and written instructions, flexibility, professionalism, organizational skills, and the ability to work in a fast-paced environment are essential. Outstanding communication skills, both verbal and written, are crucial, as well as being a positive role model for other staff and patients by promoting teamwork and cooperation. Preferred qualifications include experience working in an Ancillary/Ambulatory Surgery Center (ASC), strong Microsoft Office skills in Teams, the ability to quickly identify trends and escalate as appropriate, and the ability to read, analyze, and interpret insurance plans, financial reports, and legal documents. Physical demands for this role include sitting and typing for extended periods, reading from a computer screen for an extended period, and working in a traditional fast-paced and deadline-oriented office environment. You will also work closely with others, engage in frequent verbal communication primarily over the phone and face-to-face, work independently, and frequently use a computer and other office equipment. Key competencies for this position include attention to detail, responsiveness, customer service, execution, and communication. The role is based in Noida, Uttar Pradesh, India, and requires 2 years of experience. The designation for this position is Billing Executive.,