5 - 9 years

0 Lacs

Posted:1 week ago| Platform: Shine logo

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On-site

Job Type

Full Time

Job Description

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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