RCM Customer Service Executive (AR Caller)

As an RCM Customer Service Executive (AR Caller) at HCLTech, you will be responsible for collaborating with US healthcare providers to ensure accurate and timely reimbursement. Your role will involve reviewing and analyzing denied claims, developing strategies to reduce claim denials, and working closely with insurance companies and internal teams to resolve denied claims. You will also be preparing and submitting appeals for denied claims, maintaining accurate records, and providing regular reports on denial trends and appeal success rates. **Key Responsibilities:** - Review and analyze denied claims to identify root causes and trends. - Develop and implement strategies to reduce claim denials and improve reimbursement rates. - Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. - Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. - Monitor and track the status of appeals and follow up as needed. - Maintain accurate records of all denial management activities and outcomes. - Provide regular reports on denial trends, appeal success rates, and other key metrics to management. **Qualification Required:** - Relevant experience in OTC Collections (Accounts receivable) is mandatory. - Minimum High School Diploma or Associate degree. - Practical expertise in utilizing the Xifin tool is preferred. - 12 - 24 months of process experience in Denial Management and Provider/DME AR calling is required. If you are a healthcare professional with 1 to 3 years of experience in AR Calling and are looking for a challenging role in a dynamic environment, this opportunity at HCLTech might be the perfect fit for you. Apply now by sending your resume to maithreyee.a@hcltech.com. As an RCM Customer Service Executive (AR Caller) at HCLTech, you will be responsible for collaborating with US healthcare providers to ensure accurate and timely reimbursement. Your role will involve reviewing and analyzing denied claims, developing strategies to reduce claim denials, and working closely with insurance companies and internal teams to resolve denied claims. You will also be preparing and submitting appeals for denied claims, maintaining accurate records, and providing regular reports on denial trends and appeal success rates. **Key Responsibilities:** - Review and analyze denied claims to identify root causes and trends. - Develop and implement strategies to reduce claim denials and improve reimbursement rates. - Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. - Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. - Monitor and track the status of appeals and follow up as needed. - Maintain accurate records of all denial management activities and outcomes. - Provide regular reports on denial trends, appeal success rates, and other key metrics to management. **Qualification Required:** - Relevant experience in OTC Collections (Accounts receivable) is mandatory. - Minimum High School Diploma or Associate degree. - Practical expertise in utilizing the Xifin tool is preferred. - 12 - 24 months of process experience in Denial Management and Provider/DME AR calling is required. If you are a healthcare professional with 1 to 3 years of experience in AR Calling and are looking for a challenging role in a dynamic environment, this opportunity at HCLTech might be the perfect fit for you. Apply now by sending your resume to maithreyee.a@hcltech.com.