MedTermRCM

*HIRING FRESHERS & EXPERIENCED CANDIDATES* 𝐏𝐨𝐬𝐢𝐭𝐢𝐨𝐧: AR Executives/AR Trainees/Sr. AR Executives 𝐒𝐡𝐢𝐟𝐭𝐬: Night Shift (Free cab facilities for females only) 𝐏𝐫𝐨𝐜𝐞𝐬𝐬𝐞𝐬: Voice Process (Calling Process) 💰 Perk Alert: Joining Bonus - Only Applicable for experienced AR candidates (Terms & Conditions Apply) 🗓 Interview Mode: Face-To-Face from Monday to Friday (11 AM to 6 PM) Training will be provided to freshers. No virtual interviews will be conducted. Company Description MedTermRCM is a Healthcare Revenue Cycle Management business located in Niwaru Road, Jaipur, Rajasthan, India. Role Description This is a full-time on-site role for AR Executives/AR Trainees/Sr. AR Executives, following up on pending claims, resolving denials, and verifying insurance information. JOB DESCRIPTION • Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services • Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference • Record after-call actions and perform post-call analysis for the claim follow-up • Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact • Provide accurate product/ service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc. prior to making the call • Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments JOB REQUIREMENTS To be considered for this position, applicants need to meet the following qualification criteria: • 0-4 Years’ experience in accounts receivable follow-up/denial management for US healthcare customers • Fluent verbal communication abilities (Business English) • Call center expertise is an advantage but not mandatory • Willingness to work continuously in night shifts • Basic working knowledge of computers. • For experienced candidates, knowledge of Denials management, A/R fundamentals, healthcare terminology will be considered a plus, along with prior experience of working in a medical billing company and use of medical billing software. We will provide training on the client's medical billing software.