Job Summary: The US Healthcare AR Associate is responsible for managing accounts receivable activities within the healthcare revenue cycle. This includes following up on unpaid claims, resolving denials, verifying patient eligibility, posting payments, and ensuring timely collections from insurance payers and patients. The AR Associate plays a critical role in maximizing reimbursement and maintaining accurate financial records for healthcare providers. Key Responsibilities: Review and analyze unpaid or underpaid claims using EOBs, payer portals, and internal systems Perform insurance follow-up with government (Medicare/Medicaid), commercial, and third-party payers Resolve claim denials and rejections through timely and accurate appeals and resubmissions Post insurance and patient payments, adjustments, and write-offs accurately in billing systems Conduct root cause analysis for recurring denials and escalate issues as needed Maintain payer-specific knowledge, including billing guidelines, coverage policies, and filing limits Collaborate with billing, coding, and patient services teams to resolve discrepancies Prepare AR aging reports and meet daily/weekly productivity and quality targets Handle inbound/outbound calls with payers for claim resolution and authorization status Adhere to HIPAA and other healthcare compliance regulations Requirements: Education: High school diploma or equivalent Experience: 6 months–3 years of experience in US healthcare AR, medical billing, or RCM Technical Skills: Familiarity with medical billing software (e.g., Epic, Athena, Kareo, eClinicalWorks, Medisoft) Understanding of ICD-10, CPT, and HCPCS codes Proficiency in using payer portals and clearinghouses (e.g., Availity, Navinet) Basic Excel skills and ability to work with spreadsheets and reports Knowledge: Solid understanding of healthcare reimbursement and claim adjudication processes Knowledge of Medicare, Medicaid, and commercial insurance billing guidelines Soft Skills: Strong communication and problem-solving skills Detail-oriented and organized Ability to work independently and in a fast-paced environment Job Types: Full-time, Permanent, Fresher Pay: ₹15,000.00 - ₹35,000.00 per month Benefits: Commuter assistance Flexible schedule Health insurance Paid sick time Paid time off Provident Fund Ability to commute/relocate: Vashi, Navi Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (Required) Language: Hindi (Preferred) English (Required) Location: Vashi, Navi Mumbai, Maharashtra (Required) Work Location: In person Speak with the employer +91 8655941808 Expected Start Date: 19/08/2025
