Senior Process Associate- Hospital Billing

Med Karma is a premier international medical billing company headquartered in the United States. We specialize in delivering end-to-end revenue cycle management solutions for healthcare providers, with a focus on accuracy, compliance, and operational efficiency. With a global footprint and a commitment to excellence, Med Karma supports medical practices, hospitals, and healthcare organizations in maximizing revenue and improving patient outcomes. Our team is driven by innovation, integrity, and a deep understanding of the ever-evolving healthcare landscape. Join us and be part of a company that’s redefining medical billing through expertise and personalized service.

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Role Description:

This is a full-time on-site role for a Senior Process Associate/Subject Matter Role at Med Karma. We are  

hiring an AR Specialist with at least 2 years of experience in US hospital billing. The candidate will handle the accounts receivable process, including Claim Rejections, Denial management, Claim follow-up for US healthcare clients. This role requires expertise in the RCM cycle, particularly in working hospital claims (Inpatient/Outpatient).

Roles and Responsibilities:

·      Perform AR follow-up with insurance companies on hospital claims (UB-04/CMS1500).

·      Analyze and resolve denied, unpaid, and underpaid claims by initiating corrective actions or appeals.

·      Work on claim rejections by identifying the root cause, correcting the claim, and resubmitting it to payers.

·      Work on aged accounts to ensure timely resolution and cash flow improvement.

·      Contact insurance carriers via phone, web portals, or email for claim status and payment details.

·      Interpret Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial codes (CARC/RARC).

·      Identify billing and coding errors and coordinate with responsible department for corrections.

·      Update claim status and actions in the billing software accurately and consistently.

·      Meet daily/weekly productivity and quality targets as per client SLAs.

SKILLS REQUIRED:

·      Minimum 2 years of hands-on experience in Inpatient & Outpatient hospital billing AR follow-up.

·      Strong understanding of the US healthcare revenue cycle.

·      Knowledge of payer guidelines (Medicare, Medicaid, and commercial payers).

·      Experience working with billing software Advance MD.

·      Good understanding of ICD-10, CPT, HCPCS codes, and denial management workflows.

·      Proficient in MS Office, especially Excel.

·      Excellent verbal and written communication skills.

·      Ability to work in night shifts (US time zones).

Why work with us?

• Multicultural environment to explore, learn and grow.

• Best remuneration, Incentives and bonuses, free Cab and Food facilities.

• Wide range of training and certifications available for career development.

How to Apply