Sr. AR Executive

Job Description

Job Description: AR Executive / Sr. AR Executive Job Title: AR Executive / Accounts Receivable Analyst Department: Account Receivable Reports To: AR Team Lead / AR Manager Location: Chandigarh, India Company Overview: ProBill RCM ProBill RCM is a dynamic and rapidly growing medical billing and revenue cycle management(RCM) company committed to optimizing financial performance for healthcare providers across various specialties. We leverage advanced technology and a team of meticulous experts to deliver accurate, compliant, and efficient billing solutions, ensuring our clients achieve maximum reimbursement and operational efficiency. We pride ourselves on our attention to detail, commitment to client success, and a collaborative work environment. Position Summary: The AR Executive / Accounts Receivable Analyst at ProBill RCM is a critical role responsible for-actively managing and resolving outstanding medical claims and patient balances. This position involves proactive follow-up with insurance companies, diligent denial management, and a keen eye for identifying trends and resolving payment discrepancies to maximize our clients'revenue capture. The ideal candidate will be a tenacious problem-solver with strong analytical skills and a deep understanding of the revenue cycle. Key Responsibilities:  Claims Follow-up & Resolution: o Proactively review and manage aging reports to identify and follow up on unpaid and underpaid claims with insurance companies (commercial, Medicare, Medicaid, Workers' Compensation, VA). o Communicate directly with insurance payers via phone, payer portals, and written correspondence to ascertain claim status, resolve payment issues, and expedite reimbursement.  Denial Management: o Analyze denied claims to determine the root cause of denial (e.g., coding errors, medical necessity, eligibility issues, missing information). o Prepare and submit appeals with supporting documentation, ensuringcompliance with payer-specific guidelines and timeframes. o Track denial trends and provide feedback to internal teams (e.g., Charge Entry, Coding) or clients to prevent future denials.  Accounts Receivable Analysis: o Identify and analyze trends in outstanding accounts, underpayments, and denials to recommend process improvements. o Ensure proper posting of payments, adjustments, and write-offs. o Collaborate with the payment posting team to reconcile accounts.  Patient Accounts & Collections: o Address patient account inquiries related to balances and Explanation of Benefits(EOBs). o Assist in setting up payment plans or resolving patient collection issues as per client policies.  Documentation & Reporting: o Maintain accurate and detailed notes in the practice management systemregarding all follow-up actions and communications. o Generate and interpret AR reports to assess performance and identify areas for improvement.  Compliance & Knowledge: o Stay current with changes in billing regulations, payer policies, and industry best practices. o Ensure all AR activities comply with HIPAA and other relevant healthcareregulations. Qualifications:  Education: o High School Diploma or equivalent required. o Bachelor's degree in healthcare administration, finance, or a related field preferred.  Experience: o 2-5 years of direct experience in Accounts Receivable, Medical Billing, or Revenue Cycle Management, with a strong focus on insurance follow-up and denial management. o Experience with various insurance types (commercial, Medicare, Medicaid) inessential. o Prior experience in a multi-specialty RCM environment is a plus.  Skills & Knowledge: o Strong understanding of the entire revenue cycle process. o In-depth knowledge of CPT, ICD-10-CM, and HCPCS coding, and medical terminology. o Proficiency in interpreting Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and denial codes. o Exceptional analytical and problem-solving skills to investigate and resolve complex billing issues. o Strong communication skills (verbal and written English) for effective interaction with insurance payers, clients, and internal teams. o Proficiency with practice management systems (PMS) and electronic health record (EHR) systems. o Ability to work independently and collaboratively in a team-oriented, high- volume environment. o Excellent organizational skills and attention to detail. o Proficiency in Microsoft Office Suite, especially Excel, for data analysis and reporting. What ProBill RCM Offers:  Competitive salary and performance-based incentives.  Opportunities for professional growth and skill development within a rapidly expanding company.  A collaborative, supportive, and dynamic work environment.  The chance to significantly impact the financial success of healthcare providers. To Apply: Interested candidates are invited to submit their resume and a brief cover letter outlining their relevant experience and why they are a good fit for this role to hr@probillrcm.com Job Type: Full-time Benefits: Health insurance Leave encashment Paid sick time Paid time off Schedule: Day shift Monday to Friday Rotational shift Work Location: In person Speak with the employer +91 7717290606