3 years
0 Lacs
Posted:1 day ago|
Platform:
On-site
Full Time
---
· 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.
· 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.
· Bachelor’s degree in life sciences, healthcare, finance, or related field.
· Certifications: CMRS, CRCR, or equivalent.
· Experience handling Medicare, Medicaid, and commercial payers.
· Work with industry-leading tools and processes.
· Exposure to advanced US RCM operations.
· Ongoing training and career progression opportunities.
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